Presence of Ascites at Presentation is Associated With Absence of Long-Term Response Amongst Patients With Budd-Chiari Syndrome When Treated With Medical Therapy Alone: A Single Centre Real-Life Experience

Timing of Treatment for Budd–Chiari Syndrome: Still an Open Issue

“…Anyway, the all-group 10-year survival was only 33%. 1 Overall, the results of this study forcefully enter the debate about timing of interventional treatment for BCS. 1,2 Actually, there are two main trends for BCS management, both lacking formal validation, because of the rarity of BCS.…”

“…Moreover, the present study, together with a previous one, suggests that only medical therapy results in survival of only one-third of the cases after long-term follow-up. 1,4 Consequently, a real alternative to the step-by-step strategy is the so-called Early Interventional Treatment strategy, proposing that intervention, in the presence of any sign of portal hypertension, could improve outcome. 5 In fact, following the latter strategy, excellent survival was reported both in East and West.…”