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Titolo:
MEMBRANOUS OBSTRUCTION OF INFERIOR VENA-CAVA IN TAIWAN
Autore:
HWANG SJ; CHAN CY; LU CL; CHOU YH; LEE SD;
Indirizzi:
VET GEN HOSP,DEPT MED,DIV GASTROENTEROL,SEC 2,201 SHI PAI RD TAIPEI 11217 TAIWAN VET GEN HOSP,DEPT RADIOL TAIPEI 11217 TAIWAN NATL YANG MING UNIV,SCH MED TAIPEI TAIWAN VET GEN HOSP,DEPT MED,DIV GASTROENTEROL TAIPEI 11217 TAIWAN
Titolo Testata:
Journal of gastroenterology and hepatology
fascicolo: 3, volume: 10, anno: 1995,
pagine: 287 - 294
SICI:
0815-9319(1995)10:3<287:MOOIVI>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
BUDD-CHIARI SYNDROME; VENOUS OUTFLOW OBSTRUCTION; HEPATOCELLULAR-CARCINOMA; HEPATIC PORTION; MANAGEMENT; ETIOLOGY; ANGIOPLASTY;
Keywords:
BUDD-CHIARI SYNDROME; HEPATITIS B SURFACE ANTIGEN; HEPATOCELLULAR CARCINOMA; INFERIOR VENA CAVA BLOCK;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
41
Recensione:
Indirizzi per estratti:
Citazione:
S.J. Hwang et al., "MEMBRANOUS OBSTRUCTION OF INFERIOR VENA-CAVA IN TAIWAN", Journal of gastroenterology and hepatology, 10(3), 1995, pp. 287-294

Abstract

Membranous obstruction of the inferior vena cava (MOVC) is a rare cause of Budd-Chiari syndrome. When compared to the West, the incidence of MOVC was reported to be higher in the Orient, India and South Africa. From 1979 to 1993, 16 consecutive Chinese patients (mean age 50 years) with MOVC were retrospectively evaluated. The diagnosis in these MOVC patients was usually delayed with a mean lag time of 111 months. Most of the cases were detected by a delicate ultrasonographic examination of the abdomen. Segmental narrowing of the inferior vena cava in 11patients was the predominant type of MOVC, while five experienced a membranous obstructive type. Only one of five surgery-treated patients had a post-operation survival > 5 years, while five out of the nine patients who received conservative treatment still survived after a 6-15year follow up. Two patients received percutaneous angioplasty (PTA). One survived 4 years and the other expired 5 years after the PTA. Twopatients (12%) developed a hepatocellular carcinoma in their disease course, and the incidence was lower than in previous reports from Japan and South Africa. The incidence of hepatitis B surface antigen in MOVC did not increase in our patients compared with the general population. In conclusion, the inferior vena cava should be carefully evaluated in an ultrasonographic examination of the abdomen to increase the diagnosis rate of MOVC. Surgical intervention should be carefully justified according to the patient's symptoms and signs, the types of obstructive lesions and the expertise of the surgeons.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 06:16:31