What is the treatment approach for Budd-Chiari syndrome?

Updated: Oct 10, 2018
  • Author: Praveen K Roy, MD, AGAF; Chief Editor: BS Anand, MD  more...
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Answer

In patients with Budd-Chiari syndrome, aggressively seek specific therapy aimed at correcting or alleviating the obstruction. Also treat the underlying conditions aggressively. [30]  For example, patients with complications of portal hypertension should begin treatment on the basis of therapeutic recommendations for individuals with cirrhosis. [48]

Although medical therapy can be instituted for short-term, symptomatic benefit, [31]  the use of such treatment alone is associated with a high 2-year mortality rate (80-85%). All individuals with Budd-Chiari syndrome should have close monitoring for early identification of liver deterioration. [48]


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