Original Article
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World J Gastroenterol. Feb 21, 2011; 17(7): 906-913
Published online Feb 21, 2011. doi: 10.3748/wjg.v17.i7.906
Outcome of non surgical hepatic decompression procedures in Egyptian patients with Budd-Chiari
Ahmed Eldorry, Eman Barakat, Heba Abdella, Sara Abdelhakam, Mohamed Shaker, Amr Hamed, Mohammad Sakr
Ahmed Eldorry, Mohamed Shaker, Department of Radiodiagnosis and Interventional Radiology, Faculty of Medicine, Ain Shams University, Cairo 11341, Egypt
Eman Barakat, Heba Abdella, Sara Abdelhakam, Amr Hamed, Mohammad Sakr, Department of Tropical Medicine, Faculty of Medicine, Ain Shams University, Cairo 11341, Egypt
Author contributions: Eldorry A and Sakr M contributed equally to this work; Sakr M, Eldorry A, Barakat E, Abdella H, Abdelhakam S and Hamed A designed the research; Abdelhakam S, Hamed A and Shaker M performed the research; Eldorry A, Sakr M, Barakat E, Abdella H, Abdelhakam S and Shaker M contributed analytic tools; Sakr M, Eldorry A, Barakat E, Abdella H, Abdelhakam S and Hamed A analyzed the data; Barakat E, Abdella H and Abdelhakam S wrote the paper.
Correspondence to: Sara Abdelhakam, MD, Department of Tropical Medicine, Faculty of Medicine, Ain Shams University, Cairo 11341, Egypt. saratropical@yahoo.com
Telephone: +20-101601548 Fax: +20-2-22598751
Received: August 4, 2010
Revised: September 29, 2010
Accepted: October 6, 2010
Published online: February 21, 2011
Abstract

AIM: To evaluate outcome of patients with Budd-Chiari syndrome after balloon angioplasty ± stenting or transjugular intrahepatic portosystemic shunt (TIPS).

METHODS: Twenty five patients with Budd-Chiari syndrome admitted to Ain Shams University Hospitals, Tropical Medicine Department were included. Twelve patients (48%) with short segment occlusion were candidates for angioplasty; with stenting in ten cases and without stenting in two. Thirteen patients (52%) had Transjugular Intrahepatic Portosystemic Shunt. Patients were followed up for 12-32 mo.

RESULTS: Patency rate in patients who underwent angioplasty ± stenting was 83.3% at one year and at end of follow up. The need of revision was 41.6% with one year survival of 100%, dropped to 91.6% at end of follow up. In patients who had Transjugular Intrahepatic Portosystemic Shunt, patency rate was 92.3% at one year, dropped to 84.6% at end of follow up. The need of revision was 38.4% with one year and end of follow up survival of 100%. Patients with patent shunts showed marked improvement compared to those with occluded shunts.

CONCLUSION: Morbidity and mortality following angioplasty ± stenting and TIPS are low with satisfactory outcome. Proper patient selection and management of shunt dysfunction are crucial in improvement.

Keywords: Angioplasty; Stenting; Transjugular Intrahepatic portosystemic shunt; Patency rate