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.	沈晨阳, 曾庆福, 李清乐, 等.巴德-吉亚利综合征120例外科治疗分析[J].中华外科杂志, 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.	候景贵, 夏玉亭, 余昌时, 等.肝小静脉闭塞病(附2例报告)[J].中华内科杂志, 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, 丁鹏绪, 汪忠镐.布加综合征的规范化治疗[J/CD].中国血管外科杂志:电子版, 2013, 9(3):27-29.
9.	张文广, 丁鹏绪, 韩新巍, 等.1259例河南省Budd-Chiari综合征分布分析[J].胃肠病学和肝病学杂志, 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.	赵显国, 王峥涛, 张勉, 等.肝毒吡咯里西啶生物碱与中草药[J].中草药, 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.	许培钦, 张水军.布-加氏综合征外科治疗的经验与体会[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.	汪忠镐, 昊庆华, 王仕华, 等.布加综合征的诊断和治疗(附50例报道)[J].中华外科杂志, 1987, 67(4):72-75.
25.	韩新巍, 张文广, 闫磊, 等.Budd-Chiari综合征:下腔静脉阻塞膜与肝静脉的位置关系研究[J].实用放射学杂志, 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.	陈学明, 汪忠镐, 尹振明, 等.布加综合征452例术后并发症的处理[J].中华普通外科杂志, 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.	李晓强, 李文东.布加综合征介入治疗的并发症及处理[J].中国医师杂志, 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.	贾占民, 贾继东.肝小静脉闭塞病诊治新进展[J].实用肝脏病杂志, 2005, 8(1):51-52.
34.	梁扩寰, 李绍白.肝脏病学[M].北京:人民卫生出版社, 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. 沈晨阳, 曾庆福, 李清乐, 等.巴德-吉亚利综合征120例外科治疗分析[J].中华外科杂志, 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. 候景贵, 夏玉亭, 余昌时, 等.肝小静脉闭塞病(附2例报告)[J].中华内科杂志, 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, 丁鹏绪, 汪忠镐.布加综合征的规范化治疗[J/CD].中国血管外科杂志:电子版, 2013, 9(3):27-29.
9. 张文广, 丁鹏绪, 韩新巍, 等.1259例河南省Budd-Chiari综合征分布分析[J].胃肠病学和肝病学杂志, 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. 赵显国, 王峥涛, 张勉, 等.肝毒吡咯里西啶生物碱与中草药[J].中草药, 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. 许培钦, 张水军.布-加氏综合征外科治疗的经验与体会[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. 汪忠镐, 昊庆华, 王仕华, 等.布加综合征的诊断和治疗(附50例报道)[J].中华外科杂志, 1987, 67(4):72-75.
25. 韩新巍, 张文广, 闫磊, 等.Budd-Chiari综合征:下腔静脉阻塞膜与肝静脉的位置关系研究[J].实用放射学杂志, 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. 陈学明, 汪忠镐, 尹振明, 等.布加综合征452例术后并发症的处理[J].中华普通外科杂志, 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. 李晓强, 李文东.布加综合征介入治疗的并发症及处理[J].中国医师杂志, 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. 贾占民, 贾继东.肝小静脉闭塞病诊治新进展[J].实用肝脏病杂志, 2005, 8(1):51-52.
34. 梁扩寰, 李绍白.肝脏病学[M].北京:人民卫生出版社, 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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