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Budd-Chiari syndrome is clotting of the hepatic vein, the major vein that drains the liver of blood. Most patients with Budd-Chiari syndrome have an underlying condition that predisposes to blood clotting. About 10% have polycythemia vera, a condition in which abnormal amounts of red blood cells are. About 10% of
patients with Budd-Chiari syndrome take birth control pills, which also may predispose to blood clotting.

The most common symptoms in Budd-Chiari syndrome is ascites, or fluid accumulation in the abdomen and abdominal pain. Patients can also have abnormal bloods tests indicative of liver disease. Some individuals with Budd-Chiari syndrome may be jaundiced (yellow skin). The examining doctors often first suspect cirrhosis as a cause of the symptoms in patients with Budd-Chiari syndrome.

Patients with Budd-Chiari syndrome who have deteriorating liver function and complications usually need
to undergo liver transplantation. Other surgical procedures have been used with variable degrees of success including the fashioning of a transjugular intrahepatic portosystemic shunt (TIPSS) or portacaval shunt.
In some cases, the underlying condition that caused the syndrome excludes transplantation as a treatment
option. In many situations, patients will need to remain on blood thinners the remainer of their life to prevent further clotting.

Obesity and Fatty Liver Disease

Obesity, and all of its related complications, is more serious than most adults in America believe. More than one-third (34.9% or 78.6 million) of U.S. adults are obese. Obesity-related conditions include heart disease, stroke, type 2 diabetes, fatty liver disease, and certain types of cancer, are some of the leading causes of preventable death. We are seeing an increase in the number of young children and adolescents developing obesity, and all of the related complications.

The cost of obesity is staggering, with annual medical cost of obesity exceeding $147 billion in 2008 U.S. dollars. The medical costs for people who are obese were $1,429 higher than those of normal weight.

Dr. Galati and the Liver Specialists of Texas team are dedicated to evaluate, treat, and manage all aspects of obesity and non-alcoholic fatty liver disease (NAFLD and NASH), including the complication of cirrhosis and liver failure. Developing a customized plan of care for each patient they see is their objective.

Liver Transplant Resources

Dr. Galati has been involved in Liver Transplantation since 1989. As Medical Director for the Center for Liver Disease and Transplantation at Houston Methodist Hospital, Dr. Galati has cared for thousands of patients with advanced liver disease. In those with the most severe form of advanced liver disease and cirrhosis, liver transplantation is a life-saving surgery. For more information on liver transplantation, click here.

Indications for liver transplant include:

Online LIVER Second Opinion

  • 1

    From the comfort of your home, without the need to spend additional money on travel, lodging, and food, receive and expert second opinion from the expert physicians at Liver Specialists of Texas

  • 2

    There are five steps in the process of requesting a second opinion. We anticipate the steps will take you about 30-65 minutes to complete.

  • 3

    Have your medical records or those of your loved one on hand as you fill out the medical history questionnaire portion of the online process. The medical history questionnaire is detailed so having medical records to quickly reference will help make the process more efficient.

  • 4

    To start the process of an Online Liver Second Opinion, please fill out the initial contact form and fax back to our office. A representative from our office will call you for additional details.