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| 1 | Changing spectrum of Budd-Chiari syndrome in India with special reference to non-surgical treatment显示文摘AIM: To evaluate patterns of obstruction, etiological spectrum and non-surgical treatment in patients with Budd-Chiari syndrome in India.METHODS: Forty-nine consecutive cases of Budd-Chiari syndrome (BCS) were prospectively evaluated. All patients with refractory ascites or deteriorating liver function were, depending on morphology of inferior vena cava (IVC) and/or hepatic vein (HV) obstruction, triaged for radiological intervention, in addition to anticoagulation therapy. Asymptomatic patients, patients with diuretic-responsive ascites and stable liver function, and patients unwilling for surgical intervention were treated symptomatically with anticoagulation.RESULTS: Mean duration of symptoms was 41.5 ± 11.2 (range = 1-240) mo. HV thrombosis (HVT) was present in 29 (59.1%), IVC thrombosis in eight (16.3%), membranous obstruction of IVC in two (4%) and both IVC-HV thrombosis in 10 (20.4%) cases. Of 35 cases tested for hypercoagulability, 27 (77.1%) were positive for one or more hypercoagulable states. Radiological intervention was technically successful in 37/38 (97.3%): IVC stenting in seven (18.9%), IVC balloon angioplasty in two (5.4%), combined IVC-HV stenting in two (5.4%), HV stenting in 11 (29.7%), transjugular intrahepatic portosystemic shunt (TIPS) in 13 (35.1%) and combined TIPS-IVC stenting in two (5.4%). Complications encountered in follow-up: death in five, re-stenosis of the stent in five (17.1%), hepatic encephalopathy in two and hepatocellular carcinoma in one patient. Of nine patients treated medically, two showed complete resolution of HVT.CONCLUSION: In our series, HVT was the predominant cause of BCS. In the last five years with the availability of sophisticated tests for hypercoagulability, etiologies weredefined in 85.7% of cases. Non-surgical management was successful in most cases. | Deepak N Amarapurkar Sundeep J Punamiya Nikhil D Patel | 2008 | World Journal of Gastroenterology2008，14，2： | 9 |
| 2 | Endoluminal stenting for unprotected left main stenosis in Takayasu's arteritis显示文摘 | Punamiya K Bates ER Shea MJ | 1997 | Cathet Cardiovasc Diagn1997，40，： | 1 |
| 3 | Fate of arsenic in swine waste from concentrated animal feeding operations 显示文摘 | Makris KC Quazi S Punamiya P | 2008 | Journal of environmental quality2008，37，4： | 1 |
| 4 | Obturator hernia: a diagnostic chal- lenge显示文摘 | Kulkarni SR Punamiya AR Naniwadekar RG | 2013 | Int J Surg Case Rep2013，4，7： | 1 |
| 5 | Role of TIPS in improving survival of patients with decompensated liver disease显示文摘 | Punamiya SJ Amarapurkar DN | | 0，，02： | 1 |
| 6 | Bronchoscopic needle aspiration in the diagnosis of mediastinal lymphadenopathy and staging of lung cancer显示文摘 | Punamiya V Mehta A Chhajed P N | 2010 | J Cancer Res Ther2010，6，2： | 1 |
| 7 | Bronchoscopic needle aspira- tion in the diagnosis of mediastinal lymphadenopathy and staging of lung cancer显示文摘 | Punamiya V Mehta A Chhajed PN | 2010 | J Cancer Res Ther2010，6，2： | 1 |
| 8 | Interventional radiology in the management of portal hypertension显示文摘 | Punamiya SJ | 2008 | Indian J Radiol Imaging2008，18，3： | 1 |
| 9 | Effect of particle size of drinking-water treatment residuals on the sorption of arsenic in the presence of competing ions显示文摘 | Caporale A G Punamiya P Pigna M | 2013 | Journal of Hazardous Materials2013，260，： | 1 |
| 10 | Endoluminal stenting for unprotected left main stenosis in Takayasu's aortitis显示文摘 | Punamiya K Bates ER Shea MI | 1997 | Cardiovasc Diagn1997，40，3： | 1 |
| 11 | Fate of arsenic in swine waste from concentrated animal feeding operations显示文摘 | Makris K C Quazi S Punamiya P | 2008 | Journal of Environmental Quality2008，37，16： | 1 |
| 12 | Bronchoseopie needle aspira- tion in the diagnosis of mediastinal lymphadenopathy and staging of lung cancer显示文摘 | Punamiya V Mehta A Chhajed PN | 2010 | J Cancer Res Ther2010，6，2： | 1 |
| 13 | Endoluminal stenting for unprotected left main stenosis in Takayasu's arteritis显示文摘 | Punamiya K Bates ER Shea M J | 1997 | Cathet Cardiovasc Diagn1997，40，3： | 1 |
| 14 | Transjugular intrahepatic portosystemic shunt occlusion via modified pringle maneuver for radiofrequency ablation of nearby tumor显示文摘 | Pua U Punamiya S | | 0，，： | 1 |
| 15 | An experience with covered transjugular intrahepatic portosystemic shunt for refractory ascites from western India显示文摘 | Amarapurkar DN Punamiya S Patel ND | 2006 | Ann Hepatol2006，5，2： | 1 |
| 16 | Fate of arsenic in swine waste from concentrated animal feeding operations显示文摘 | Makris K C Quazi S Punamiya P | 2008 | Journal of Environmental Quality2008，37，4： | 1 |
| 17 | Fate of arsenic in swine waste from concentrated animal feeding operations 显示文摘 | Makris K C Quazi S Punamiya P Sarkar D Datta R | 2008 | Journal of Environmental Quality2008，37，4： | 1 |
| 18 | Bronehoscopie needle aspiration in the diagnosis of mediastinal lymphadenopathy and staging of lung cance显示文摘 | Punamiya V Mehta A Chhajed P N | 2012 | J Cancer Res Ther2012，6，2： | 1 |
| 19 | Bronchoscopic needle aspiration in the diagnosis of mediastinal lymphadenopathy and staging of lung cance显示文摘 | Punamiya V Mehta A Chhajed PN | 2012 | J Cancer Res Ther2012，6，2： | 1 |
| 20 | Antimony sorption at gibbsite- waler interface显示文摘 | Rakshit S Sarkar D Punamiya P | 2011 | Chemosphere2011，84，4： | 1 |
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