ENDOSCOPIC HEMOSTASIS IN PORTAL ESOPHAGEAL HEMORRHAGES AMONG PATIENTS WITH HEPATIC CIRRHOSIS


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Abstract

M State Academy of Medicine named after Academician E. A. Wagner, Perm, Russian Federation Aim. To assess the efficiency of combined endoscopic hemostasis technique in case of esophageal portal hemorrhages according to intrahospital lethality criteria and one-year survival rate among patients with hepatic cirrhosis (HC). Materials and methods. Retrospective analysis of treatment of 33 HC patients with portal hypertension syndrome, complicated esophageal dilated varicose veins (EDVV) hemorrhage over the period of 2008-2012 is presented in the paper. 21 patients of the main group underwent endoscopic ligation (EL) combined with endoscopic sclerotherapy (ES) of EDVV; 14 patients of the comparison group underwent EL alone. Results. In the main group, patients’ intrahospital lethality was lower (9,5% vs 33,3%), but one-year survival rate - higher (71,4% vs 66,7%) than in the comparison group. Conclusion. Combined endoscopic hemostasis in HC patients with EDVV hemorrhage is accompanied by decrease in intrahospital lethality and rise in one-year survival rate.

References

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ЭЛ № ФС 77 - 75489 от 05.04.2019 г.


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