{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T02:59:25Z","timestamp":1768445965203,"version":"3.49.0"},"reference-count":7,"publisher":"BMJ","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gut"],"published-print":{"date-parts":[[1996,11]]},"abstract":"<jats:p>BACKGROUND AND AIMS: Infiltration of the hepatic veins in the alveolar echinococcosis can lead to the development of the Budd-Chiari syndrome. The medical and surgical treatment of this condition is generally unsatisfactory. The results of successful interventional treatment with percutaneous stent implantation in the hepatic veins are reported. METHODS: Using a transjugular approach, metal mesh stents (Boston Scientific, Medi-Tech Accuflex 8\/60 mm) were placed in the median and left hepatic veins of a 53 year old woman. After the intervention, oral chemotherapy with albendazole (2 x 400 mg\/day) was continued, but no anticoagulants were given. RESULTS: Stent placement was performed without complications. The clinical picture improved rapidly: normalisation of portal blood flow was confirmed by Doppler ultrasound and there was improvement of liver function, reduction of oesophageal varices, and disappearance of ascites. A follow-up examination at 15 months showed no evidence of stent occlusion. CONCLUSIONS: Treatment of portal hypertension in alveolar echinococcosis of the liver is problematic. In selected patients with portal hypertension secondary to hepatic vein stenoses but no cirrhosis, percutaneous stent placement in the hepatic veins represents a promising treatment alternative.<\/jats:p>","DOI":"10.1136\/gut.39.5.762","type":"journal-article","created":{"date-parts":[[2007,9,18]],"date-time":"2007-09-18T17:41:31Z","timestamp":1190137291000},"page":"762-764","source":"Crossref","is-referenced-by-count":30,"title":["Alveolar echinococcosis of the liver: percutaneous stent therapy in Budd-Chiari syndrome."],"prefix":"10.1136","volume":"39","author":[{"given":"J","family":"Vogel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"G\u00f6rich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Kramme","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Merkle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Sokiranski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Kern","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H J","family":"Brambs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1996,11,1]]},"reference":[{"key":"ref_1","first-page":"596","article-title":"Topical problems in echinococcosis (Echinococcus multilocularis)","volume":"53","author":"Kimmig, P.; Schelling, U.","year":"1991","unstructured":"Kimmig P, Schelling U. Topical problems in echinococcosis (Echinococcus multilocularis). Off Gesundh-Wes 1991; 53: 596-9.","journal-title":"Off Gesundh-Wes"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/BF00184336","article-title":"Alveolare Echinokokkose: Therapie mittels Chirurgie, Chemotherapie oder Kombination von beiden?","volume":"377","author":"Ammann, R.","year":"1992","unstructured":"Ammann R. Alveolare Echinokokkose: Therapie mittels Chirurgie, Chemotherapie oder Kombination von beiden? Langenbecks Arch Chir 1992; 377: 65-7.","journal-title":"Langenbecks Arch Chir"},{"key":"ref_3","first-page":"587","article-title":"Resultate der Chirurgie bei Leberechinokokkose","volume":"60","author":"Rothlin, M.; Decurtins, M.; Largiader, F.","year":"1993","unstructured":"Rothlin M, Decurtins M, Largiader F. Resultate der Chirurgie bei Leberechinokokkose. Helvetica Chirurgica Acta 60 1993\/1994; 60: 587-92.","journal-title":"Helvetica Chirurgica Acta"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1002\/hep.1840130610","article-title":"Orthotopic liver transplantation for incurable alveolar echinococcosis of the Liver: report of 17 Cases","volume":"13","author":"Bresson-Hadni, S.; Franza, A.; Miguet, J.P.","year":"1991","unstructured":"Bresson-Hadni S, Franza A, Miguet JP. Orthotopic liver transplantation for incurable alveolar echinococcosis of the Liver: report of 17 Cases. Hepatology 1991; 13: 1061-70.","journal-title":"Hepatology"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1055\/s-2007-1007363","article-title":"The Budd-Chiari syndrome: a therapeutic gordian knot?","volume":"13","author":"Langnas, A.N.; Sorrell, M.F.","year":"1993","unstructured":"Langnas AN, Sorrell MF. The Budd-Chiari syndrome: a therapeutic gordian knot? Semin Liver Dis 1993; 13: 352-9.","journal-title":"Semin Liver Dis"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1016\/0140-6736(91)90661-8","article-title":"Treatment of Budd-Chiari syndrome by insertion of wall-stent in hepatic vein","volume":"338","author":"Weernink, E.E.M.; Huisman, A.B.; Ten Napel, C.H.H.","year":"1991","unstructured":"Weernink EEM, Huisman AB, Ten Napel CHH. Treatment of Budd-Chiari syndrome by insertion of wall-stent in hepatic vein. Lancet 1991; 338: 644.","journal-title":"Lancet"},{"key":"ref_7","first-page":"101","article-title":"Alveolar echinococcosis of the Liver - computed tomography findings","volume":"5","author":"Merkle, E.; Usadel, S.; Vogel, J.; Kern, P.; Friedrich, J.-M.; Brambs, H.J.","year":"1995","unstructured":"Merkle E, Usadel S, Vogel J, Kern P, Friedrich J-M, Brambs HJ. Alveolar echinococcosis of the Liver - computed tomography findings. Aktuelle Radiol 1995; 5: 101-5.","journal-title":"Aktuelle Radiol"}],"container-title":["Gut"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/gut.39.5.762","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T19:27:11Z","timestamp":1763753231000},"score":1,"resource":{"primary":{"URL":"https:\/\/gut.bmj.com\/lookup\/doi\/10.1136\/gut.39.5.762"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,11]]},"references-count":7,"journal-issue":{"issue":"5","published-online":{"date-parts":[[1996,11,1]]},"published-print":{"date-parts":[[1996,11]]}},"alternative-id":["10.1136\/gut.39.5.762"],"URL":"https:\/\/doi.org\/10.1136\/gut.39.5.762","relation":{},"ISSN":["0017-5749","1468-3288"],"issn-type":[{"value":"0017-5749","type":"print"},{"value":"1468-3288","type":"electronic"}],"subject":[],"published":{"date-parts":[[1996,11]]}}}