Esophageal variceal ligation in the primary and secondary prevention of variceal bleeding

This article is devoted to experience of endoscopic ligation of varices in N.A. Semashko Republic Clinical Hospital. We analyzed the results of ligation in 28 patients treated since February 2013 to March 2016. Selected patients had diagnoses of liver cirrhosis, syndrome of portal hypertension of di...

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Autores principales:	D. B. Dashatsyrenova, A. K. Gavrilova, P. O. Tverdokhlebov
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2017
Materias:	portal hypertension ligation of varices Science Q
Acceso en línea:	https://doaj.org/article/084431fc88044c47818e22d6450406e2
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spelling	oai:doaj.org-article:084431fc88044c47818e22d6450406e22021-11-23T06:14:39ZEsophageal variceal ligation in the primary and secondary prevention of variceal bleeding2541-94202587-959610.12737/article_5a3a0ead02b258.50539404https://doaj.org/article/084431fc88044c47818e22d6450406e22017-09-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/525https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596This article is devoted to experience of endoscopic ligation of varices in N.A. Semashko Republic Clinical Hospital. We analyzed the results of ligation in 28 patients treated since February 2013 to March 2016. Selected patients had diagnoses of liver cirrhosis, syndrome of portal hypertension of different origin, 10 (35.5 %) had the history of one or more episodes of bleeding from varicose veins of the esophagus. Endoscopic ligation was performed for patients with varices of grade 3-4 according to J. Paquet classification, grade 3 according to N. Soehendra, K. Binmoeller classification improving primary and secondary prevention of bleeding. The effectiveness of endoscopic ligation as a method of primary and secondary prevention of bleeding from the varices, with subsequent transfer to oral administration of non-selective β-adrenoblockers was evaluated. In the result of the study throughout the entire period of observation we indicated no episodes of esophageal bleeding and established a low rate of recurrence of varices. Those patients who, after the first endoscopic ligation session, followed the recommendations for taking beta-blockers, have a better prognosis and the outcome in relation to patients who have neglected the recommendations. During the first year of follow-up there was one fatal outcome - a man with VHC died as a result of hepatocellular insufficiency.D. B. DashatsyrenovaA. K. GavrilovaP. O. TverdokhlebovScientific Сentre for Family Health and Human Reproduction Problemsarticleportal hypertensionligation of varicesScienceQRUActa Biomedica Scientifica, Vol 2, Iss 5(2), Pp 151-153 (2017)
institution	DOAJ
collection	DOAJ
language	RU
topic	portal hypertension ligation of varices Science Q
spellingShingle	portal hypertension ligation of varices Science Q D. B. Dashatsyrenova A. K. Gavrilova P. O. Tverdokhlebov Esophageal variceal ligation in the primary and secondary prevention of variceal bleeding
description	This article is devoted to experience of endoscopic ligation of varices in N.A. Semashko Republic Clinical Hospital. We analyzed the results of ligation in 28 patients treated since February 2013 to March 2016. Selected patients had diagnoses of liver cirrhosis, syndrome of portal hypertension of different origin, 10 (35.5 %) had the history of one or more episodes of bleeding from varicose veins of the esophagus. Endoscopic ligation was performed for patients with varices of grade 3-4 according to J. Paquet classification, grade 3 according to N. Soehendra, K. Binmoeller classification improving primary and secondary prevention of bleeding. The effectiveness of endoscopic ligation as a method of primary and secondary prevention of bleeding from the varices, with subsequent transfer to oral administration of non-selective β-adrenoblockers was evaluated. In the result of the study throughout the entire period of observation we indicated no episodes of esophageal bleeding and established a low rate of recurrence of varices. Those patients who, after the first endoscopic ligation session, followed the recommendations for taking beta-blockers, have a better prognosis and the outcome in relation to patients who have neglected the recommendations. During the first year of follow-up there was one fatal outcome - a man with VHC died as a result of hepatocellular insufficiency.
format	article
author	D. B. Dashatsyrenova A. K. Gavrilova P. O. Tverdokhlebov
author_facet	D. B. Dashatsyrenova A. K. Gavrilova P. O. Tverdokhlebov
author_sort	D. B. Dashatsyrenova
title	Esophageal variceal ligation in the primary and secondary prevention of variceal bleeding
title_short	Esophageal variceal ligation in the primary and secondary prevention of variceal bleeding
title_full	Esophageal variceal ligation in the primary and secondary prevention of variceal bleeding
title_fullStr	Esophageal variceal ligation in the primary and secondary prevention of variceal bleeding
title_full_unstemmed	Esophageal variceal ligation in the primary and secondary prevention of variceal bleeding
title_sort	esophageal variceal ligation in the primary and secondary prevention of variceal bleeding
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2017
url	https://doaj.org/article/084431fc88044c47818e22d6450406e2
work_keys_str_mv	AT dbdashatsyrenova esophagealvaricealligationintheprimaryandsecondarypreventionofvaricealbleeding AT akgavrilova esophagealvaricealligationintheprimaryandsecondarypreventionofvaricealbleeding AT potverdokhlebov esophagealvaricealligationintheprimaryandsecondarypreventionofvaricealbleeding
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Esophageal variceal ligation in the primary and secondary prevention of variceal bleeding

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