[Minimal invasive treatment of bleeding of esophagus and stomach varices in patients with portal hypertension]

Abstract

The results of examination and treatment of 57 patients with liver cirrhosis and portal hypertension with bleeding from the varices of the esophagus and stomach, admitted in the Clinical Hospital No 29 named after N.E. Bauman in Moscow. The Studies show that the efficiency of the radio-endovascular embolization for bleeding varices of the esophagus and the stomach is 89,5% of patients.The use of prolonged infusions of vasoconstrictors in combination with venous embolization helps further reduce portal hypertension and has a hemostatic effect in 10.5% of patients. The study shows the therapeutic tactic in bleeding varices of the esophagus and the stomach should be individualized and based on clinical-endoscopic prediction of rebleeding according to the severity of blood loss and patient's condition.