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Venoocclusive disease

Introduction

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Synonyms and Keywords: VOD, sinuosoidal obstruction syndrome

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 transplantations, and may also occur after ingestion of certain plant alkaloids.

References

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

Historical Perspective

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Classification

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Pathophysiology

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Overview

Pathophysiology

VOD is also known as sinuosoidal obstruction syndrome due to obstruction of the venous system. Following bone marrow transplantation, VOD has been hypothesized to be due to injury to the hepatic venous endothelium from the conditioning regimen.

References

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

Causes

Drug induced

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Differentiating Veno-occlusive disease from other Diseases

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Epidemiology and Demographics

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Risk Factors

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Screening

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Natural History, Complications and Prognosis

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Overview

Prognosis

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.

References

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

Diagnosis

Diagnosis

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

Treatment

Treatment

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

Case Studies

Case Studies

Case #1

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