ASSESSMENT OF THE EFFECTIVENESS OF MINIMALLY INVASIVE INTERVENTION IN PATIENTS WITH LIVER CIRRHOSIS COMPLICATED BY PORTAL HYPERTENSION

Authors

  • Maktkuliev Utkirbek Ismailovich DSC, Associate Professor, Tashkent Medical Academy Department of 1 - Faculty and Hospital Surgery , Tashkent, Uzbekistan
  • Batirov Davronbek Yusupovich CMS, associate professor, head of the department, Tashkent Medical Academy Urganch Branch, Department of Surgical Diseases and Transplantology , Urganch, Uzbekistan.
  • Umarov Zafarbek Zaripbaevich Assistant, Tashkent Medical Academy Urganch Branch, Department of Surgical Diseases and Transplantology , Urganch, Uzbekistan.
  • Allanazarov Allanazar Khudashkurovich PhD , associate professor, Urganch Branch of Tashkent Medical Academy Department of Surgical Diseases and Transplantology , Urganch, Uzbekistan. E-mail: doctor_uzz1986@mail.ru

Abstract

Data from the examination and treatment of 54 patients with bleeding from varicose veins of the esophagus and stomach against the background of liver cirrhosis, who were treated at the 2nd clinic of the Tashkent Medical Academy for the period 2010-2022, and who underwent endoscopic interventions, were analyzed. The purpose of the study is to study the effectiveness of endoscopic ligation in patients with portal hypertension syndrome complicated by bleeding from varicose veins of the esophagus and stomach. A positive effect was observed in 83.3% of patients. It was also found that endoscopic ligation of varicose veins of the esophagus and stomach reduces the risk of bleeding from varicose veins of the esophagus and stomach to 3.8%. The results obtained indicate the effectiveness of endoscopic ligation in patients with portal hypertension syndrome complicated by bleeding from varicose veins of the esophagus and stomach

References

Атаханов Д.А. Оптимизация выбора чреспеченочного доступа к воротной вене для выполнения эндоваскулярных вмешательств у больных с портальной гипертензией: Автореф. дис. канд. мед. наук. – Ташкент, 2004 – 29 с.

Ерамишанцев А.К., Киценко Е.А., Шерцингер А.Г., Жигалова С.Б. Кровотечения из ВРВ пищевода и желудка: диагностика, лечебная тактика (лекция) // Анналы хирургической гепатологии. –2006. –том.XI. –№2. –С105-111.

Кадыров Р.Н., Усовершенствование эндоскопического метода остановки кровотечения из варикозно расширенных вен пищевода- Автореф. дисс.... канд.мед.наук. Ташкент 2010. - 22 с.

Морозова Е. И., Роль портальной гипертензии и некоторых метаболических нарушений в развитии кардиогемодинамических расстройств у больных вирусным циррозом печени. автореферат диссертации на соискание ученой степени кандидата медицинских наук. код специальности 14.01.04 Внутренниеболезни. — 2013

Krowka MJ, Wiesner RH, Heimbach JK. Pulmonary contraindications, indications and MELD exceptions for liver transplantation: a contemporary view and look forward. J Hepatol. 2013 Aug;59(2):367-74. doi: 10.1016/j.jhep.2013.03.026. Epub 2013 Apr 1. Review. PMID: 23557870.

Menahem B, Lubrano J, Desjouis A, Lepennec V, Lebreton G, Alves A. Transjugular intrahepatic portosystemic shunt placement increases feasibility of colorectal surgery in cirrhotic patients with severe portal hypertension. Dig Liver Dis. 2015 Jan;47(1):81-4. doi: 10.1016/j.dld.2014.09.013. Epub 2014 Oct 18. PMID: 25445406.

Maktkuliev UI, Batirov DY, Umarov ZZ, Allanazarov AKh, Rakhimov AP, Nurmatov ST. Minimally Invasive Interventions in Portal Hypertension Complication with Esophageal and Gastric Varicose Veins // Scholastic: Journal of Natural and Medical Education. 2023. №2 (4). 274-279. URL: http://univerpubl.com/index.php/scholastic/article/view/1315

Маткулиев У.И., Батиров Д.Ю., Умаров З.З., Алланазаров А.Х., Рахимов А.П. Портал гипертензия ва унинг асоратларини даволашда эндоскопик хамда эндоваскуляр усуллар // Научная перспектива Научно-аналитический журнал. 2023. №3 (157). 60-62. URL: http://naupers.ru/wp-content/uploads/2016/11/Naupers-3-2023.pdf#page=60

Xakimov MSh; Matkuliev UI; Umarov ZZ. Portal gipertenziya asoratlarini oldini olish va davolashda kaminvazivli aralashuvlar kompleksining samaradorligi // Science and innovation. 2022. №1 (Special Issue 2). 379-383. URL: https://cyberleninka.ru/article/n/portal-gipertenziya-asoratlarini-oldini-olish-va-davolashda-kaminvazivli-aralashuvlar-kompleksining-samaradorligi/viewer

Маткулиев УИ, Умаров ЗЗ. Малоинвазивные вмешательства в профилактике и лечении кровотечений у больных с портальной гипертензией // Научный обозреватель научно-аналитический журнал. 2020. №10 (118). С. 47-50.

Xakimov MSh, Matkuliev UI, Batirov DY, Umarov ZZ. Modern Treatment and Prevention of Bleeding from Esophagus and Gastrous Varicose Veins with Portal Hypertension (Review of Literature) // American Journal of Medicine and Medical Sciences. 2023. №13 (5). 762-767. URL: http://journal.sapub.org/ajmms

Downloads

Published

2023-09-17

Issue

Section

Articles