Endoscopic ligation of esophageal varicose veins in case of ongoing bleeding

Samsonyan, E. Kh.; Курганов, И. А.; Bogdanov, D. Yu.; Емельянов, С. И.

doi:10.17116/endoskop201824327

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…When a patient with bleeding signs was admitted to the emergency room the blood hemoglobin level, liver, kidney function indices were determined urgently, and simultaneously EGDS was performed in the operating room. After the source of bleeding had been identified, EVL was immediately performed (5,6). At the same time a central or peripheral vein was catheterized, after which the patient was administered hemostatics, proton pump inhibitors, and transfusion of blood components (fresh frozen plasma, red blood cell mass) was performed.…”

Section: Protocol Of Treatmentmentioning

confidence: 99%

Complications of endoscopic ligation of varicose veins in patients with portal hypertension

Bebezov,

Abdykadyrov

2023

HVT

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The aim of the investigation is to analyze the results of endoscopic varicose vein ligation (EVL) in patients with portal hypertension; to estimate the character and frequency of early and late postoperative complications after EVL; to evaluate the possibility of endoscopic ligation at the moment of active bleeding. Methods: This work includes an analysis of 138 procedures for endoscopic ligation of the esophageal varices in 111 patients from 2016 to 2020. Intrahepatic form of portal hypertension was in 90 patients, extrahepatic form -in 21 patients. The total number of interventions performed was divided into 2 groups. In the first group of patients with EVL was performed urgently, and the second group includes patients, if necessary, with targeted prescription and secondary prevention of portal esophageal bleeding. Results: In 74 (53.6%) cases out of 138, different types of complications were detected. There were 2 lethal cases (1.4%). It should be noted that there were no lethal outcomes in second group after EVL, and after urgent operations, the mortality rate was 33.3%. The most critical complication of ligation was the resumption of hemorrhage due to the site of ligation in the early (1-3 days) and late periods after surgery (5-10 days). Conclusion:In this analysis of the studied cases of complications after EVL, the most common complication was pain syndrome and early and late bleeding were also identified. We showed that control esophagogastroscopies helped to identify bleeding recurrences; examination algorithms in case of detection of bleeding complication after EVL, and measures to prevent the development of recurrent hemorrhage were also necessary.

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Section: Protocol Of Treatmentmentioning

confidence: 99%

Complications of endoscopic ligation of varicose veins in patients with portal hypertension

Bebezov,

Abdykadyrov

2023

HVT

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“…Кровотечение из ВРВПиЖ является самым опасным и грозным осложнением с летальностью, достигающей 50-70 % при первом эпизоде, в дальнейшем у 30-50 % пациентов развивается повторное кровотечение с высокими цифрами летальности. Доказано, что в течение первых двух лет от момента первого эпизода рецидив кровотечения повторяется у 100 % больных [1][2][3][4][5]. Трансплантация печени считается безальтернативным методом радикального лечения цирроза печени (ЦП).…”

Section: Introductionunclassified

Endoscopic Prophylaxis and Treatment of Portal-Genesis Oesophageal Haemorrhage

Bebezov

Sultangaziev

Abdykadyrov

2022

Kreativnaâ hirurgiâ i onkologiâ

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Background. Portal hypertension-triggered oesophageal and gastric variceal bleeding is the most dangerous and threatening complication, with an up to 50–70 % mortality at first episode. High-mortality repeated bleeding develops subsequently in 30–50 % patients, with the proved 100 % recurrence rate in the first two years following the first episode. The world experience dictates further research to continue towards developing new surgical methods and approaches.Aim: to evaluate the treatment efficacy of pneumatic endoscopic band ligation of bleeding oesophageal varices (OV).Materials and methods. The experience of applying pneumatic endoscopic ligation treatment in the patients managed at the General Surgery Unit of the Clinical Hospital of the Kyrgyz Republic Presidential Administration during 2017–2019 was analysed. Endoscopic ligation is a modern minimally invasive and less traumatic intervention used to markedly reduce mortality and improve quality of life in patients with portal hypertension syndrome. The evidence on 76 patients following endoscopic OV ligation was summarised. The patient age ranged from 11 to 70 years (mean 46.26 years); 40 men (52.6 %) and 36 women (47.4 %) were included. Among the 76 patients, portal hypertension was caused by viral cirrhosis in 38, hepatitis B in 5, delta agent hepatitis B in 18, hepatitis C in 13, a hepatitis B–C combination in 1 and a delta agent hepatitis B — hepatitis C combination in 1 patient. In 21 patients, cirrhosis was of unknown aetiology. A portal vein malformation was observed in 13 people of whom 4 had it combined with thrombosis.Results. A total of 94 ligation procedures were performed in 76 patients with grade II–III OV. Some patients needed to undergo the procedure several times, 18 patients had 2 sessions. Two cases required 3 and 4 sessions each. Moderate oesophageal soreness was reported in 32 patients for 1–6 days following the ligation. No complications were registered during the operation. In early postoperative period, 2 patients developed recurrent bleeding, with haemostasis re-achieved by a repeated vein ligation below bleeding.Conclusion. Hence, small invasiveness and minor traumatism coupled with high efficiency and lesser complications render endoscopic ligation the method of choice in primary and secondary prophylaxis and treatment of OV. Endoscopic ligation improves the patient’s quality of life, allows an extra time for conservative treatment and longer period to liver transplantation.

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Endoscopic ligation of esophageal varicose veins in case of ongoing bleeding

Cited by 2 publications

References 7 publications

Complications of endoscopic ligation of varicose veins in patients with portal hypertension

Complications of endoscopic ligation of varicose veins in patients with portal hypertension

Endoscopic Prophylaxis and Treatment of Portal-Genesis Oesophageal Haemorrhage

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