Budd-Chiari syndrome management: Lights and shadows

Table 1 Definition for response to Budd-Chiari syndrome treatment[2]

Complete response	No ascites
	Normal Na and creatinine with no or low-dose diuretics (spironolactone 75 mg or furosemide 40 mg/die)
	Factor V increase > 40% of the normal range
	Bilirubin decrease < 15 μmol/L
	No portal hypertension bleeding
	No spontaneous bacterial peritonitis
	Body mass index > 20 kg/m2
Ongoing response	Ascites detectable but responsive to low-dose diuretics
	Normal Na and creatinine
	Factor V increase (if initially low)
	Bilirubin decrease
Treatment failure	When criteria for complete or ongoing response were lacking