Rerksuppaphol Sanguansak, Hardikar Winita, Smith Arnold L, Wilkinson James L, Goh Tiow H, Angus Peter, Jones Robert
Department of Paediatric Gastroenterology and Clinical Nutrition, Royal Children's Hospital, Flemington Road, 3052, Parkville, Melbourne, Victoria, Australia.
Pediatr Surg Int. 2004 Feb;20(2):87-90. doi: 10.1007/s00383-003-1093-3. Epub 2004 Feb 10.
Hepatic venous outflow obstruction, known as Budd-Chiari syndrome, is a rare but serious complication of orthotopic liver transplantation and may lead to graft loss. Our aim was to describe a single center experience of percutaneous interventional management of hepatic outflow obstruction post liver transplantation in children. Three children with post-transplant hepatic venous outflow obstruction were treated successfully with percutaneous stent placement. This resulted in long-term resolution of symptoms and was superior to balloon angioplasty both in our series and in cases reported in the literature. Stenting may be the treatment of choice for hepatic venous obstruction after pediatric liver transplantation, particularly if there is a recurrence of stenosis after balloon dilatation.
肝静脉流出道梗阻，即布加综合征，是原位肝移植罕见但严重的并发症，可能导致移植物丢失。我们的目的是描述儿童肝移植术后肝流出道梗阻经皮介入治疗的单中心经验。3例移植后肝静脉流出道梗阻患儿经皮置入支架成功治疗。这导致症状长期缓解，在我们的系列研究以及文献报道的病例中均优于球囊血管成形术。对于小儿肝移植术后肝静脉梗阻，支架置入可能是首选治疗方法，尤其是球囊扩张后出现狭窄复发的情况。
