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SCIENTIFIC PAPERS - A 27-Year Experience With Surgical Treatment of Budd-Chiari Syndrome - Long-term studies of 60 patients with Budd-Chiari syndrome showed that side-to-side portacaval shunt was highly effective when occlusion was confined to the hepatic veins, and side-to-side portacaval shunt combined with cavalatrial shunt graft was very effective when the inferior vena cava was occluded. Liver transplantation should be reserved for patients with advanced cirrhosis who are referred too late to benefit from surgical portal decompression/
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