Role endoscopy in choosing methods of preventing issue of blood from varicose veins of oesophagus
Abstract
The authors analyse results of endoscopic prevention of recurrent issues of blood from varicose veins of oesophagus in 37 patients with portal hypertension syndrome. The primary group (17 patients) underwent endoscopic ultrasound-controlled ligation of veins. The control group underwent traditional endoscopic ligation. The authors highlight decreasing recurrence rate of oesophageal issues of blood from 60 to 29.4 % (in control and primary groups, respectively) during the follow-up period lasting up to 18 months.
About the Authors
N. V. Tashkinov
Far Eastern State Medical University
Russian Federation
Russian Federation
S. N. Kachalov
Far Eastern State Medical University; Railway Clinical Hospital at the Khabarovsk-1 Station, JSC RZhD
Russian Federation
Russian Federation
Yu. S. Sigaeva
Railway Clinical Hospital at the Khabarovsk-1 Station, JSC RZhD
Russian Federation
Russian Federation
S. I. Chichkan
Far Eastern State Medical University; Railway Clinical Hospital at the Khabarovsk-1 Station, JSC RZhD
Russian Federation
Russian Federation
A. V. Pyrkh
Far Eastern State Medical University; Consulting Diagnostic Centre “Vivea”, Khabarovsk
Russian Federation
Russian Federation
References
1. Орлов С.Ю. Эндосонография - современный метод диагностики варикозного расширения вен пищевода при портальной гипертензии // Современные направления диагностики и лечения портальной гипертензии: тез. докл. VIII научнопрактической конференции. СПб., 2002. С. 1-4.
2. Перерва О.В., Сотниченко Б.А., Макаров В.И. Сравнительная оценка эффективности эндоскопического лигирования и эндоскопической склеротерапии при кровотечениях из варикозно расширенных вен пищевода // Тихоокеанский мед. журн. 2008. № 4. С. 35-37.
3. Турмаханов С. Т. Роль непарной вены в патогенезе варикозного расширения вен пищевода и желудка и кровотечений из них при портальной гипертензии: автореф. дис.. канд. мед. наук. Нижний Новгород, 2001. 24 с.
4. Шерцингер А.Г., Жигалова С.Б., Федотов Е.В. и др. Патогенез гастроэзофагеального кровотечения у больных декомпенсированным циррозом печени // Анналы хирургической гепатологии. 2008. Т. 13, № 2. С. 54-57.
5. Chen C., Chang T. Prophylactic endoscopic variceal ligation for esophageal varices // Gastroenterology. 1997. No. 1. P. 112-124.
6. Cipoletta L., Bianco M.A., Rotondano G. et al. Argon plasma coagulation prevents variceal recurrence after band ligation of esophageal varices: Preliminary results of a prospective randomized trial // Gastrointest. Endosc. 2002. Vol. 56. Р 467-471.
7. Мatsui S. Comparison of argon plasma coagulation and para-variceal injection sclerotherapy with 1 % polidocanol in mucosa-fibrosing therapy for esophageal varices // J. Gasroent. 2004. No. 4. Р 397-399.
8. Takashi T., Hiroshi Y., Katsutoshi O. et al. General rules for recording endoscopic findings of esophagogastric varices //Digestive Endoscopy. 2010. Vol. 22, No. 1. Р 1-9.
Review
For citations:
Tashkinov N.V., Kachalov S.N., Sigaeva Yu.S., Chichkan S.I., Pyrkh A.V. Role endoscopy in choosing methods of preventing issue of blood from varicose veins of oesophagus. Pacific Medical Journal. 2011;(4):78-79. (In Russ.)
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