The article presents the results of surgical treatment of bleeding from esophageal and gastric varices in patients with sub- and decompensated hepatic cirrhosis. The study included 62 patients. The average age was 46.7±15.2 years. The vast majority of patients had clinical signs of severe hepatic failure in accordance with the Child-Pugh criteria (class B — 24, class C — 38 patients). Among the patients, two groups were identified. In the control group, 20 patients underwent suturing of varicose veins (operation by M. D. Patsiora) due to the failure of conservative treatment. In the main group, 42 patients were operated on in a combined way in the early stages from the moment of admission. The results obtained indicated an increase in the survival rate of patients in the stage of sub- and decompensation, operated on in the early stages and by the proposed combined method.
An analysis of the results of conservative and surgical treatment of bleeding from esophageal and gastric varices in patients with hepatic cirrhosis over a 10-year period is presented. The results obtained indicate unsatisfactory results of conservative treatment due to the use of expectant conservative tactics, low surgical activity in relation to the treatment and prevention of esophageal-gastric bleeding. Early performance of surgical interventions according to the proposed combined method allows to improve the results of treatment in patients with sub- and decompensated stages of hepatic cirrhosis.
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