Veno-occlusive disease: Difference between revisions

Jump to navigation Jump to search
No edit summary
 
(5 intermediate revisions by 2 users not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{SI}}
'''For patient information, click [[Veno-occlusive disease (patient information)|here]]'''
{{Veno-occlusive_disease}}
{{CMG}}
{{CMG}}
'''''Synonyms and Keywords:''''' VOD, sinuosoidal obstruction syndrome
'''''Synonyms and Keywords:''''' VOD, sinuosoidal obstruction syndrome
==Overview==
==[[Veno-occlusive disease overview|Overview]]==
Veno-occlusive disease (VOD) is a disease of the liver in which the veins in the liver are obstructed or blocked.  VOD is a complication that occurs in up to 25% of [[bone marrow transplant]]ations, and may also occur after ingestion of certain plant [[alkaloids]].


==Prognosis==
==[[Veno-occlusive disease historical perspective|Historical Perspective]]==
When associated with bone marrow transplant, VOD is fatal in over 30% of cases. Cases due to plant alkaloids often have a longer and more unpredictable course.


==Diagnosis==
==[[Veno-occlusive disease classification|Classification]]==
===Symptoms===
 
*[[Weight gain]]
==[[Veno-occlusive disease pathophysiology|Pathophysiology]]==
*[[Right upper quadrant pain]] due to [[hepatomegaly]]
 
*[[Abdominal swelling]] due to [[ascites]]
==[[Veno-occlusive disease causes|Causes]]==
===Drug induced===
* [[Dactinomycin]]
 
==[[Veno-occlusive disease differential diagnosis|Differentiating Veno-occlusive disease from other Diseases]]==
 
==[[Veno-occlusive disease epidemiology and demographics|Epidemiology and Demographics]]==
 
==[[Veno-occlusive disease risk factors|Risk Factors]]==


===Physical Examination===
==[[Veno-occlusive disease screening|Screening]]==
====Abdominal Examination====
*Tender [[hepatomegaly]]
*[[Ascites]]


===Laboratory Studies===
==[[Veno-occlusive disease natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
*Increased [[bilirubin]]
*[[Renal failure]] may be present


==Pathophysiology==
==Diagnosis==
In the BMT setting, VOD is felt to due to injury to the hepatic venous endothelium from the conditioning regimen. It is also known as '''sinuosoidal obstruction syndrome'''.
[[Veno-occlusive disease history and symptoms|History and Symptoms]] | [[Veno-occlusive disease physical examination|Physical Examination]] | [[Veno-occlusive disease laboratory findings|Laboratory Findings]] | [[Veno-occlusive disease abdominal x ray|Abdominal X Ray]] | [[Veno-occlusive disease CT|CT]] | [[Veno-occlusive disease MRI|MRI]] | [[Veno-occlusive disease ultrasound|Ultrasound]] | [[Veno-occlusive disease other imaging findings|Other Imaging Findings]] | [[Veno-occlusive disease other diagnostic studies|Other Diagnostic Studies]]


==Treatment==
==Treatment==
Treatment for VOD is primarily supportive. In the BMT setting, [[defibrotide]] is an investigational treatment that may be promising.  Defibrotide is a polydeoxyribonucleotide; its mechanism of benefit in VOD is unclear, but has been attributed to its antithromboitc properties.  
[[Veno-occlusive disease medical therapy|Medical Therapy]] | [[Veno-occlusive disease surgery|Surgery]] | [[Veno-occlusive disease primary prevention|Primary Prevention]] | [[Veno-occlusive disease secondary prevention|Secondary Prevention]] | [[Veno-occlusive disease cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Veno-occlusive disease future or investigational therapies|Future or Investigational Therapies]]
 
==Sources==
Kumar, V., Abbas, A. and N. Fausto. 2004. ''Robbins & Cotran Pathologic Basis of Disease.'' Philadelphia: W. B. Saunders Company.


==References==
==Case Studies==
{{Reflist|2}}


==External link==
[[Veno-occlusive disease case study one|Case #1]]
* [http://www.asheducationbook.org/cgi/content/full/2004/1/372 American Society of Hematology education book] discussion of VOD


[[Category:Hepatology]]
[[Category:Hepatology]]
[[Category:Hematology]]
[[Category:Hematology]]

Latest revision as of 16:46, 27 January 2015

For patient information, click here

Veno-occlusive disease Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Veno-occlusive disease from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Abdominal X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Veno-occlusive disease On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Veno-occlusive disease

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Veno-occlusive disease

CDC on Veno-occlusive disease

Veno-occlusive disease in the news

Blogs on Veno-occlusive disease

Directions to Hospitals Treating Veno-occlusive disease

Risk calculators and risk factors for Veno-occlusive disease

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and Keywords: VOD, sinuosoidal obstruction syndrome

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Drug induced

Differentiating Veno-occlusive disease from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Abdominal X Ray | CT | MRI | Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1