Endoscopic treatment of gastric varices bleeding
Kim, D.O.; Ul'ianov, D.N.; Vasnev, O.S.
Eksperimental'naia i Klinicheskaia Gastroenterologiia 6: 58-61
2012
ISSN/ISBN: 1682-8658 PMID: 23402193 Document Number: 663504
The problem of prevention of variceal bleeding (VB) of esophagus and stomach in patients with portal hypertension has not lost its relevance due to the high mortality rates (reaching 50% at relapse), as a result of the objective difficulties of implementation of efficient primary hemostasis and subsequent control of recurrent bleeding and adequate correction of coagulopathy, and decompensated liver function. Endoscopic ligation of esophageal VB latex rings or plastic endo loop continues to be the standard prevention of bleeding of portal genesis (Baveno IV, V). However, according to several authors, endoscopic ligation by latex rings should not be used in the propagation of VB on the stomach (as well as the presence of VB isolated stomach) because of the danger of destruction latex by gastric juice. At the same time, the latex ligation is much easier technically, faster, and therefore, it is easier tolerated, and most importantly, do not poses a threat to the strain varices difficult to stop the bleeding which in some cases observed at tightening of the plastic endoloop. In this study proved the possibility to reach the comparative safety and efficacy of gastric banding Varices with latex rings.