Prevention and treatment of hepatic venocclusive disease after high-dose cytoreductive therapy.

Abstract:

:Venocclusive disease of the liver (VOD) is one of the most common and serious complications following stem cell transplantation. High-dose chemotherapy or chemoradiotherapy injures the structures of Zone 3 of the liver acinus and produces the clinical syndrome of hepatomegaly or right upper quadrant pain, jaundice, and fluid retention. VOD occurs in up to 54% of stem cell transplant recipients and is fatal in 25-50% of them. While the clinical signs of VOD usually manifest during the first post-transplant week, late presentation can occur. The purpose of this review is to discuss the manifestations and pathophysiology of VOD and the options for prevention and treatment.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Richardson P,Bearman SI

doi

10.3109/10428199809059219

subject

Has Abstract

pub_date

1998-10-01 00:00:00

pages

267-77

issue

3-4

eissn

1042-8194

issn

1029-2403

journal_volume

31

pub_type

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