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The effectiveness of endoscopic methods of hemostasis for bleeding from varicose veins of the esophagus
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| Author:
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KADIROV NADIROVICH, KHADJIBAEV FARHOD ABDUKHAKIMOVICH, AKHMEDOV YUSUF MAKHMUDOVICH
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| Abstract:
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Objective: to evaluate the effectiveness of the treatment of active bleeding from varicose veins of the esophagus and stomach using endoscopic hemostasis technologies.
Material and research methods. An analysis of a comprehensive clinical examination and treatment of 245 patients with liver cirrhosis and portal hypertension syndrome, observed from 2014 to 2018 at the Samarkand branch of the Republican Scientific Center for Emergency Medical Care, was carried out.
Long-term results were traced in 83 (71.6%) patients of the main group and 52 (69.3%) patients in the control group. At various times after discharge with a relapse of bleeding from bleeding from varicose veins of the esophagus and stomach, 32 (38.6%) patients of the main group and 27 (51.9%) of the control group applied. In total, out of 135 examined patients with recurrent bleeding, 59 patients were admitted, which amounted to 43.7%.
Conclusion. In patients with liver cirrhosis and portal hypertension syndrome complicated by stopped bleeding, the frequency of early relapse of bleeding after ES with subsequent use of the Blackmore-Sengstaken probe can reach 18.5% of cases, in turn, endoscopic doping of the bleeding source reduces this indicator to 9.4%, while depending on the level of the source of primary bleeding, the highest probability of relapse, reaching 37.5-60.0%, was detected in the area of the cardia of the stomach, while the probability of relapse from n / 3 of the esophagus does not exceed 5.4-13.0%.
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| Keyword:
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bleeding, varicose veins, esophagus, stomach, hemostasis, endoscopic doping, endoscopic sclerotherapy.
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2020.12.03.326
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| Download:
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