Summary
doi: 10.25005/2074-0581-2012-14-4-45-49
Diagnosis and treatment tactics of esophageal-gastric bleeding in liver cirrhosis
Department of surgical diseases №1 Avicenna TSMU
This study presents results of examinations of 120 patients with esophageal-gastric bleeding (EGB) in liver cirrhosis. Urgent endoscopy was performed in 72.5% of patients and in 15.8% of cases with continued EGB, frequent vomiting blood and with unstable hemodynamic endoscopy was performed in a delayed manner. Various surgical procedures in EGB as the main treatment method were performed in 11.7% of patients. Comparative analysis of immediate results of treatment showed that mortality rate in surgical intervention was higher (35.7%) than in conservative and endoscopic methods (26.2% and 26.6%, respectively). Consequently, the surgical method should be used only when conservative and endoscopic techniques are not successful.
Keywords: liver cirrhosis, esophageal-gastric bleeding, endoscopic sclerotherapy.
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