Comparative analysis of the results of the modified technique of esophageal varicose veins endoscopic ligation for the purpose of the primary and secondary prevention of bleeding

Emel'ianov S.I.

kafedra éndoskopicheskoĭ khirurgii FPDO MGMSU

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

Uvarova O.V.

Centrosoyuz Hospital of Russian Federation, Moscow, Russia

Comparative analysis of the results of the modified technique of esophageal varicose veins endoscopic ligation for the purpose of the primary and secondary prevention of bleeding

Authors:

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

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Journal: Endoscopic Surgery. 2019;25(1): 23‑30

DOI: 10.17116/endoskop20192501123

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To cite this article:

Emel'ianov SI, Samsonyan EKh, Kurganov IA, Bogdanov DIu, Uvarova OV. Comparative analysis of the results of the modified technique of esophageal varicose veins endoscopic ligation for the purpose of the primary and secondary prevention of bleeding. Endoscopic Surgery. 2019;25(1):23‑30. (In Russ.)
https://doi.org/10.17116/endoskop20192501123

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Purpose. To compare the results of the modified endoscopic esophageal varices ligation technique for the purpose of the primary or secondary prophylactics of the bleedings. Materials and methods. We have analyzed and studied the results of the modified technique of the esophageal varices ligation implementation for the purposes of the primary or secondary bleedings prophylactic in 80 patients. In the first group the modified technique was applied for the primary bleeding prophylactics in 41 patients. The second group consisted of 39 patients who survived the application of the modified technique for the secondary prophylactics of the bleedings. Results. The frequency of fever occurrence in the early postoperative period was 9.7% in the first group and 12.9% — in the second (p>0.05). There were no surgical complications. No bleedings in early and postponed postsurgical period were noted. Dysphagiya was diagnosed in 19.5% and 17.9% cases respectively (p>0.05). In 6 months after the surgery esophageal varices were diagnosed in 13 patients (26.8%) of the first group and in 12 patients (30.8%) group 2 (p>0.05). The repeated ligation of the esophageal varices 6 months postsurgery was performed in 4,8% patients and 5.1% respectively (p>0.05). Conclusion. The results of the new modified method of the endoscopic esophageal varices ligation for the primarily and the secondary bleeding prophylactics are sufficient, and present no significant difference in outcome.

Keywords:

endoscopic ligation of esophageal veins

esophageal varices

primary prevention

secondary prevention

portal hypertension

Authors:

Emel'ianov S.I.

kafedra éndoskopicheskoĭ khirurgii FPDO MGMSU

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

Uvarova O.V.

Centrosoyuz Hospital of Russian Federation, Moscow, Russia

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