Identification Between Budd-Chiari Syndrome and Hepatic Veno-Occlusive Disease_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 YANSheng ¹ ,  LIYong-jun ²

1. Department of Vascular Surgery, The Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi Province, China;
2. Department of Vascular Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing 100730, China;

Corresponding?author：

LIYong-jun, Email: yongj_93@hotmail.com

Keywords：

Budd-Chiari syndrome; Hepatic veno-occlusive disease; Identification

DOI：

10.7507/1007-9424.20140357

Video：

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Objective To summarize the differences between Budd-Chiari syndrome (BCS) and hepatic veno-occlusive disease (HVOD). Methods Based on the current reports about BCS and HVOD, combined with the authors' clinical experience, a review was performed for the 2 kinds of diseases. Results BCS and HVOD were both post-hepatic portal hypertension symptoms, and both would result in liver cirrhosis in the late phase. According to the different causes of 2 kinds of diseases clinically, and the corresponding clinical characteristics, most cases can be confirmed by the preliminary judgment. As for the cases without clear diagnosis, corresponding imaging examinations may be helpful, but the final diagnosis depended on the pathologic examination after liver biopsy. Conclusion There are some differences on the cause, clinical characteristic, and characteristic of images between the BCS and HVOD, that all of them contribute to differential diagnosis.

Citation： YANSheng, LIYong-jun. Identification Between Budd-Chiari Syndrome and Hepatic Veno-Occlusive Disease. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(12): 1507-1510. doi: 10.7507/1007-9424.20140357 Copy

1.	沈晨陽, 曾慶福, 李清樂, 等.巴德-吉亞利綜合征120例外科治療分析[J].中華外科雜志, 2012, 50(4):310-312.
2.	Janssen HL, Garcia-Pagan JC, Elias E, et al.Budd-Chiari synd-rome:a review by an expert panel[J].J Hepatol, 2003, 38(3):364-371.
3.	Budd G.On diseases of the liver[M].London:John Churchill, 1845:135-136.
4.	Hirsh HL, Manchester B.Chiari's syndrome[J].N Engl J Med, 1946, 3(235):507-511.
5.	候景貴, 夏玉亭, 余昌時, 等.肝小靜脈閉塞病(附2例報告)[J].中華內科雜志, 1980, 19(5):187-191.
6.	Deleve LD.Hepatic microvasculature in liver injury[J].Semin Liver Dis, 2007, 27(4):390-400.
7.	Deleve LD, Mccuskey RS, Wang XD, et al.Characterization of a reproducible rat model of hepatic veno-occlusive disease[J].Hepatology, 1999, 29(6):1779-1791.
8.	李震, 丁鵬緒, 汪忠鎬.布加綜合征的規范化治療[J/CD].中國血管外科雜志:電子版, 2013, 9(3):27-29.
9.	張文廣, 丁鵬緒, 韓新巍, 等.1259例河南省Budd-Chiari綜合征分布分析[J].胃腸病學和肝病學雜志, 2011, 20(5):472-474.
10.	Qi X, Yang Z, De Stefano V, et al.Methylenetetrahydrofolate reductase C677T gene mutation and hyperhomocysteinemia in Budd-Chiari syndrome and portal vein thrombosis:a systematic review and meta-analysis of observational studies[J].Hepatol Res, 2014, [Epub ahead of print].
11.	趙顯國, 王崢濤, 張勉, 等.肝毒吡咯里西啶生物堿與中草藥[J].中草藥, 1998, 29(5):341-346.
12.	Barker CC, Butzner JD, Anderson RA, et al.Incidence, survival and risk factors for the development of veno-occlusive disease in pediatric hematopoietic stem cell transplant recipients[J].Bone Marrow Transplant, 2003, 32(1):79-87.
13.	Izaki T, Inomata Y, Asonuma K, et al.Early graft failure due to a veno-occlusive disease after a pediatric living donor liver transplantation[J].Pediatr Transplant, 2004, 8(3):301-304.
14.	Wang Z.To restrict indication for stenting of the inferior vena cava and liver transplantation in patients with Budd-Chiari syndrome[J].Front Med China, 2007, 1(2):130-135.
15.	許培欽, 張水軍.布-加氏綜合征外科治療的經驗與體會[J].腹部外科, 1996, 9(4):146-149.
16.	Buckley O, O'Brien J, Snow A, et al.Imaging of Budd-Chiari syndrome[J].Eur Radiol, 2007, 17(8):2071-2078.
17.	Bargalló X, Gilabert R, Nicolau C, et al.Sonography of Budd-Chiari syndrome[J].AJR Am J Roentgenol, 2006, 187(1):W33-W41.
18.	Chaudhuri M, Jayaranganath M, Chandra VS.Percutaneous recanalization of an occluded hepatic vein in a difficult subset of pediatric Budd-Chiari syndrome[J].Pediatr Cardiol, 2012, 33(5):806-810.
19.	Senzolo M, Cholongitas EC, Patch D, et al.Update on the classification, assessment of prognosis and therapy of Budd-Chiari syndrome[J].Nat Clin Pract Gastroenterol Hepatol, 2005, 2(4):182-190.
20.	Valla DC.Hepatic vein thrombosis (Budd-Chiari syndrome)[J].Semin Liver Dis, 2002, 22(1):5-14.
21.	Washburn WK, Gish RG, Kamath PS.Model for end-stage liver disease (MELD) exception for Budd-Chiari syndrome[J].Liver Transpl, 2006, 12(12 Suppl 3):S93-S94.
22.	Hadengue A, Poliquin M, Vilgrain V, et al.The changing scene of hepatic vein thrombosis:recognition of asymptomatic cases[J].Gastroenterology, 1994, 106(4):1042-1047.
23.	Okuda K, Kage M, Shrestha SM.Proposal of a new nomenclature for Budd-Chiari syndrome:hepatic vein thrombosis versus thrombosis of the inferior vena cava at its hepatic portion[J].Hepatology, 1998, 28(5):1191-1198.
24.	汪忠鎬, 昊慶華, 王仕華, 等.布加綜合征的診斷和治療(附50例報道)[J].中華外科雜志, 1987, 67(4):72-75.
25.	韓新巍, 張文廣, 閆磊, 等.Budd-Chiari綜合征:下腔靜脈阻塞膜與肝靜脈的位置關系研究[J].實用放射學雜志, 2011, 27(4):542-544.
26.	Wang ZG, Zhang FJ, Yi MQ, et al.Evolution of management for Budd-Chiari syndrome:a team's view from 2564 patients[J].ANZ J Surg, 2005, 75(1-2):55-63.
27.	Bearman SI, Lee JL, Baron AE, et al.Treatment of hepatic venocclusive disease with recombinant human tissue plasminogen activator and heparin in 42 marrow transplant patients[J].Blood, 1997, 89(5):1501-1506.
28.	陳學明, 汪忠鎬, 尹振明, 等.布加綜合征452例術后并發癥的處理[J].中華普通外科雜志, 1999, 14(6):417-420.
29.	Chalandon Y, Roosnek E, Mermillod B, et al.Prevention of veno-occlusive disease with defibrotide after allogeneic stem cell transplantation[J].Biol Blood Marrow Transplant, 2004, 10(5):347-354.
30.	Ferral H, Behrens G, Lopera J.Budd-Chiari syndrome[J].AJR Am J Roentgenol, 2012, 199(4):737-745.
31.	李曉強, 李文東.布加綜合征介入治療的并發癥及處理[J].中國醫師雜志, 2014, 16(3):292-294.
32.	Patil P, Deshmukh H, Popat B, et al.Spectrum of imaging in Budd Chiari syndrome[J].J Med Imaging Radiat Oncol, 2012, 56(1):75-83.
33.	賈占民, 賈繼東.肝小靜脈閉塞病診治新進展[J].實用肝臟病雜志, 2005, 8(1):51-52.
34.	梁擴寰, 李紹白.肝臟病學[M].北京:人民衛生出版社, 2003:1111-1115.
35.	Shulman HM, Gooley T, Dudley MD, et al.Utility of transve-nous liver biopsies and wedged hepatic venous pressure measurements in sixty marrow[J].Transplantation, 1995, 59(7):1015-1022.

1. 沈晨陽, 曾慶福, 李清樂, 等.巴德-吉亞利綜合征120例外科治療分析[J].中華外科雜志, 2012, 50(4):310-312.
2. Janssen HL, Garcia-Pagan JC, Elias E, et al.Budd-Chiari synd-rome:a review by an expert panel[J].J Hepatol, 2003, 38(3):364-371.
3. Budd G.On diseases of the liver[M].London:John Churchill, 1845:135-136.
4. Hirsh HL, Manchester B.Chiari's syndrome[J].N Engl J Med, 1946, 3(235):507-511.
5. 候景貴, 夏玉亭, 余昌時, 等.肝小靜脈閉塞病(附2例報告)[J].中華內科雜志, 1980, 19(5):187-191.
6. Deleve LD.Hepatic microvasculature in liver injury[J].Semin Liver Dis, 2007, 27(4):390-400.
7. Deleve LD, Mccuskey RS, Wang XD, et al.Characterization of a reproducible rat model of hepatic veno-occlusive disease[J].Hepatology, 1999, 29(6):1779-1791.
8. 李震, 丁鵬緒, 汪忠鎬.布加綜合征的規范化治療[J/CD].中國血管外科雜志:電子版, 2013, 9(3):27-29.
9. 張文廣, 丁鵬緒, 韓新巍, 等.1259例河南省Budd-Chiari綜合征分布分析[J].胃腸病學和肝病學雜志, 2011, 20(5):472-474.
10. Qi X, Yang Z, De Stefano V, et al.Methylenetetrahydrofolate reductase C677T gene mutation and hyperhomocysteinemia in Budd-Chiari syndrome and portal vein thrombosis:a systematic review and meta-analysis of observational studies[J].Hepatol Res, 2014, [Epub ahead of print].
11. 趙顯國, 王崢濤, 張勉, 等.肝毒吡咯里西啶生物堿與中草藥[J].中草藥, 1998, 29(5):341-346.
12. Barker CC, Butzner JD, Anderson RA, et al.Incidence, survival and risk factors for the development of veno-occlusive disease in pediatric hematopoietic stem cell transplant recipients[J].Bone Marrow Transplant, 2003, 32(1):79-87.
13. Izaki T, Inomata Y, Asonuma K, et al.Early graft failure due to a veno-occlusive disease after a pediatric living donor liver transplantation[J].Pediatr Transplant, 2004, 8(3):301-304.
14. Wang Z.To restrict indication for stenting of the inferior vena cava and liver transplantation in patients with Budd-Chiari syndrome[J].Front Med China, 2007, 1(2):130-135.
15. 許培欽, 張水軍.布-加氏綜合征外科治療的經驗與體會[J].腹部外科, 1996, 9(4):146-149.
16. Buckley O, O'Brien J, Snow A, et al.Imaging of Budd-Chiari syndrome[J].Eur Radiol, 2007, 17(8):2071-2078.
17. Bargalló X, Gilabert R, Nicolau C, et al.Sonography of Budd-Chiari syndrome[J].AJR Am J Roentgenol, 2006, 187(1):W33-W41.
18. Chaudhuri M, Jayaranganath M, Chandra VS.Percutaneous recanalization of an occluded hepatic vein in a difficult subset of pediatric Budd-Chiari syndrome[J].Pediatr Cardiol, 2012, 33(5):806-810.
19. Senzolo M, Cholongitas EC, Patch D, et al.Update on the classification, assessment of prognosis and therapy of Budd-Chiari syndrome[J].Nat Clin Pract Gastroenterol Hepatol, 2005, 2(4):182-190.
20. Valla DC.Hepatic vein thrombosis (Budd-Chiari syndrome)[J].Semin Liver Dis, 2002, 22(1):5-14.
21. Washburn WK, Gish RG, Kamath PS.Model for end-stage liver disease (MELD) exception for Budd-Chiari syndrome[J].Liver Transpl, 2006, 12(12 Suppl 3):S93-S94.
22. Hadengue A, Poliquin M, Vilgrain V, et al.The changing scene of hepatic vein thrombosis:recognition of asymptomatic cases[J].Gastroenterology, 1994, 106(4):1042-1047.
23. Okuda K, Kage M, Shrestha SM.Proposal of a new nomenclature for Budd-Chiari syndrome:hepatic vein thrombosis versus thrombosis of the inferior vena cava at its hepatic portion[J].Hepatology, 1998, 28(5):1191-1198.
24. 汪忠鎬, 昊慶華, 王仕華, 等.布加綜合征的診斷和治療(附50例報道)[J].中華外科雜志, 1987, 67(4):72-75.
25. 韓新巍, 張文廣, 閆磊, 等.Budd-Chiari綜合征:下腔靜脈阻塞膜與肝靜脈的位置關系研究[J].實用放射學雜志, 2011, 27(4):542-544.
26. Wang ZG, Zhang FJ, Yi MQ, et al.Evolution of management for Budd-Chiari syndrome:a team's view from 2564 patients[J].ANZ J Surg, 2005, 75(1-2):55-63.
27. Bearman SI, Lee JL, Baron AE, et al.Treatment of hepatic venocclusive disease with recombinant human tissue plasminogen activator and heparin in 42 marrow transplant patients[J].Blood, 1997, 89(5):1501-1506.
28. 陳學明, 汪忠鎬, 尹振明, 等.布加綜合征452例術后并發癥的處理[J].中華普通外科雜志, 1999, 14(6):417-420.
29. Chalandon Y, Roosnek E, Mermillod B, et al.Prevention of veno-occlusive disease with defibrotide after allogeneic stem cell transplantation[J].Biol Blood Marrow Transplant, 2004, 10(5):347-354.
30. Ferral H, Behrens G, Lopera J.Budd-Chiari syndrome[J].AJR Am J Roentgenol, 2012, 199(4):737-745.
31. 李曉強, 李文東.布加綜合征介入治療的并發癥及處理[J].中國醫師雜志, 2014, 16(3):292-294.
32. Patil P, Deshmukh H, Popat B, et al.Spectrum of imaging in Budd Chiari syndrome[J].J Med Imaging Radiat Oncol, 2012, 56(1):75-83.
33. 賈占民, 賈繼東.肝小靜脈閉塞病診治新進展[J].實用肝臟病雜志, 2005, 8(1):51-52.
34. 梁擴寰, 李紹白.肝臟病學[M].北京:人民衛生出版社, 2003:1111-1115.
35. Shulman HM, Gooley T, Dudley MD, et al.Utility of transve-nous liver biopsies and wedged hepatic venous pressure measurements in sixty marrow[J].Transplantation, 1995, 59(7):1015-1022.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Identification Between Budd-Chiari Syndrome and Hepatic Veno-Occlusive Disease

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