Secondary prevention of esophageal varicose veins bleeding by means of modified endoscopic ligation technique

Samsonyan E.Kh.

Centrosoyuz Hospital, Moscow, Russia, Department of endoscopic surgery, Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Moscow, Russia

Kurganov I.A.

Kafedra éndoskopicheskoĭ khirurgii fakul'teta poslediplomnogo obrazovaniia Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

Bogdanov D.Iu.

kafedra éndoskopicheskoĭ khirurgii FPDO MGMSU

Emel'ianov S.I.

kafedra éndoskopicheskoĭ khirurgii FPDO MGMSU

Uvarova O.V.

Centrosoyuz Hospital of Russian Federation, Moscow, Russia

Secondary prevention of esophageal varicose veins bleeding by means of modified endoscopic ligation technique

Authors:

Samsonyan E.Kh., Kurganov I.A., Bogdanov D.Iu., Emel'ianov S.I., Uvarova O.V.

More about the authors

Journal: Endoscopic Surgery. 2018;24(2): 34‑42

DOI: 10.17116/endoskop201824234

Downloaded: 24

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Samsonyan EKh, Kurganov IA, Bogdanov DIu, Emel'ianov SI, Uvarova OV. Secondary prevention of esophageal varicose veins bleeding by means of modified endoscopic ligation technique. Endoscopic Surgery. 2018;24(2):34‑42. (In Russ.)
https://doi.org/10.17116/endoskop201824234

Close metadata

Recommended articles:

Reconstruction of total portosystemic shunt into selective portosystemic shunt in a child. Pirogov Russian Journal of Surgery. 2023;(12):140-146

Trends in endovascular treatment and prevention of portal bleeding. Pirogov Russian Journal of Surgery. 2024;(3):38-44

Increasing the discharge epicrises informative level of patients with transient ischemic attacks. Russian Journal of Preventive Medicine. 2024;(10):84-89

Possibilities and limitations of secondary prevention of chronic non-communicable diseases in primary care of Russia and CIS countries. Russian Journal of Preventive Medicine. 2024;(11):54-62

Purchase — to work out the optimal operational technique of modified endoscopic ligation method varicose veins of esophagus for the purpose of secondary prevention of bleeding, as well as in patients with clinico-endoscopic picture completed bleeding against cirrhosis; carry out a comparative analysis results of application of the modified endoscopic ligation technique and the standard version of this operation. Material and methods. The results of endoscopic ligation varicose veins of the esophagus, carried out for the purpose of secondary prevention of bleeding in 75 patients who were operated with 2015 to 2017 were studied. The main (study) group included 39 patients, those endoscopic ligation was performed by modified procedure. The control group consisted 36 patients, those endoscopic ligation was performed according to standard method. Results. The overall incidence of early postoperative complications was 12.9% in the study group and 75.0% in the control group (p<0.01). The incidence of dysphagia was 17.9% compared to 86.1%, respectively (p<0.01). The proportion of patients whom in 6 months after the operation were diagnosed varicose veins of the stomach, was 30.8% in compared with 80.5% in the control group (p<0.01). Requirement re-ligation of varicose veins of the esophagus was found in 5.1% versus 11.1%, respectively (p>0.05). Conclusion. Application of a modified endoscopic ligation method varicose veins of the esophagus allows statistically significantly reduce the incidence of complications in the early and distant postoperative period at the current clinical efficacy on level of standard surgical intervention.

Keywords:

endoscopic ligation of esophageal veins

esophageal variceal veins

secondary prevention

portal hypertension

esophageal variceal vein bleeding

Authors:

Samsonyan E.Kh.

Centrosoyuz Hospital, Moscow, Russia, Department of endoscopic surgery, Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Moscow, Russia

Kurganov I.A.

Kafedra éndoskopicheskoĭ khirurgii fakul'teta poslediplomnogo obrazovaniia Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

Bogdanov D.Iu.

kafedra éndoskopicheskoĭ khirurgii FPDO MGMSU

Emel'ianov S.I.

kafedra éndoskopicheskoĭ khirurgii FPDO MGMSU

Uvarova O.V.

Centrosoyuz Hospital of Russian Federation, Moscow, Russia

List of references:

Karman AD, Kazushchik VL. Portal’naya gipertenziya. Minsk: Belorusskii gosudarstvennyi meditsinskii universitet, 2014. (In Russ.)
Zatevakhin II, Shipovskii VN, Tsitsiashvili MSh, Monakhov DV. Portal’naya gipertenziya. Diagnostika i lechenie. М.: Buki Vedi, 2015. (In Russ.)
Gabriel‘ SA, Guchetl‘ AYa, Durleshter VM, Dyn‘ko VYu, Murashko DS, Krushel‘nitskii VS. Endoscopic ligation in treatment and prevention of bleeding from esophageal varices. Khirurgiya. Zhurnal im. N.I. Pirogova. 2017;2: 59-63. (In Russ.) https://doi.org/10.17116/hirurgia2017259-63
Zarivchatskii M.F., Kamenskikh E.D., Mugatarov I.N. Prevention of bleeding from esophageal varicose veins in cirrhosis. Eksperimental‘naya i klinicheskaya gastroenterologiya. 2016;7:72-75. (In Russ.)
Khoron’ko YuV, Dmitriev AV, Shitikov IV, Blikyan AV, Kozyrevskii MA. Modern opportunities of endoscopic diagnostics and treatment of varicose esophago-gastric bleeding in portal hypertension. Sovremennye problemy nauki i obrazovaniya. 2016;6: 155. (In Russ.)
Spiridonov LL, Varlamov VI, Antonov VB, Ivanova AL. Experience of endoscopic ligation of esophagus varicosities in therapy of portal hypertension complications. Zdravookhranenie Chuvashii. 2012;4:78-81. (In Russ.)
Shrestha B, Kc S, Chaudhary S, Basnet BK, Mandal AK, Poudyal NS. Outcome of Endoscopic Variceal Band Ligation. Journal of the Nepal Medical Association. 2017;56(206):198-202.
Gidirim GP, Mishin IV, Dolgii AN, Danch AV, Zastavnitskii GM. Endoskopicheskoe ligirovanie v lechenii aktivnykh krovotechenii iz varikozno-rasshirennykh ven pishchevoda. Ukrainskii zhurnal maloinvazinoi i endoskopicheskoi khirurgii. 2009;13(3):27. (In Russ.)
Kotel’nikova LP, Shvarev AV, Fedachuk NN, Karavaeva EA. The experience of endoscopic procedures in treatment and preventing recurrent variceal bleeding in patients with portal hypertension. Sovremennye problemy nauki i obrazovaniya. 2015;3:198. (In Russ.)
Cabrera L, Tandon P, Abraldes JG. An update on the management of acute esophageal variceal bleeding. Gastroenterologia y Hepatologia. 2017;40(1):34-40. https://https://doi.org/10.1016/j.gastrohep.2015.11.012
Kopytov SN. Krovotecheniya iz varikozno rasshirennykh ven pishchevoda. Endoskopicheskoe ligirovanie kak metod ostanovki krovotechenii. Aktual’nye problemy sovremennoi klinicheskoi khirurgii. 2015;166-173. (In Russ.)
Filin AV, Myaukina LM, Kim EV, Filin AA. Endoskopicheskaya diagnostika, pervichnaya i vtorichnaya profilaktika krovotechenii iz varikozno rasshirennykh ven pishchevoda i zheludka. Prakticheskaya meditsina. 2008;2:37-40. (In Russ.)
Shertsinger AG, Zhigalova SB, Musin RA, Dem‘yanov AI, Abdullaev ICh. Complications of Endoscopic Procedures in Patients with Portal Hypertension. Annaly khirurgicheskoi gepatologii. 2007;2:16-21. (In Russ.)
Olevskaya ER, Tarasov AN, Morozova ZS. Risk factors for postligature bleeding in patients with liver cirrhosis. Endoskopicheskaya khirurgiya. 2016;22(4):30-35. (In Russ.) https://https://doi.org/10.17116/endoskop201622430-35
Cho E, Jun CH, Cho SB, Park CH, Kim HS, Choi SK, Rew JS. Endoscopic variceal ligation-induced ulcer bleeding: What are the risk factors and treatment strategies? Medicine (Baltimore). 2017;96(24):7157. https://https://doi.org/10.1097/MD.0000000000007157
Anisimov AYu, Vertkin AL, Devjatov AV. Klinicheskie rekomendatsii po lecheniyu krovotechenii iz varikozno rasshirennykh ven pishchevoda i zheludka. (In Russ.) Accessed November 13, 2017. http://www.hospital-vrn.ru/files/docs/nkr_ne_yazvennye_krovotecheniya.pdf
Khomenko AI, Kaminskii MN, Kachalov SN. Treatment of bleeding from esophageal varices: difficulties and opportunities to improve results. Dal’nevostochnyi meditsinskii zhurnal. 2017;2:72-74. (In Russ.)
Khaitaliev ZhD. Sovremennyi podkhod k lecheniyu krovotechenii iz varikozno-rasshirennykh ven pishchevoda i zheludka. Molodoi uchenyi. 2014;7:223-225. (In Russ.)
Kawai T, Yashima Y, Sugimoto T, Sato T, Kanda M, Enomoto N, Sato S, Obi S. Emergency endoscopic variceal ligation following variceal rupture in patients with advanced hepatocellular carcinoma and portal vein tumor thrombosis: a retrospective study. World Journal of Surgical Oncology. 2016;24(14):52. https://https://doi.org/10.1186/s12957-016-0802-z
Abdurakhmanov BA. Efficiency endoscopes technology in preventive maintenance and treatment of bleedings portal genesis at the patients with liver cirrhosis. Kreativnaya khirurgiya i onkologiya. 2010;2:38-39. (In Russ.)

Close metadata