Novosti
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This journal is indexed in Scopus |
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Year 2009 Vol. 17 No 4
GENERAL AND SPECIAL SURGERY
DZIDZAVA I.I., KOTIV B.N., BELEVICH B.L., SMORODSKY A.V.
ENDOSCOPIC LIGATION OF THE ESOPHAGEAL VARICOSE VEINS IN PATIENTS WITH THE LIVER CIRRHOSIS
The experience of endoscopic ligation of the esophageal varicose veins in 98 patients with cirrhosis complicated with portal hypertension is presented in the article. According to the Child-Pugh scale patients were distributed as follows: the class A has made – 18 (18,3%), class B – 38 (38,8%) and class C – 42 (42,9%) patients. Efficiency of band ligation to control the acute bleeding has made 92,9%. The esophageal bleeding recurrence in the early postoperative period developed in 12,2% of cases and in the long-term follow-up – in 20,4%. The hospital lethality was 5,1%. In the remote period after endoscopic ligation the recurrence of the esophageal varicose veins was diagnosed in 65,7% of patients. The survival rate of the patients with cirrhosis after endoscopic eradication during the observation up to 1 year has made 54,5±5,3%, 3 and 5 years – 34,9±5,7% and 21,5±9,6% accordingly. Endoscopic ligation is an effective method to treat and prevent esophageal varicose veins bleeding in patients with the liver cirrhosis.
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