innosferaНаука и инновацииScience and Innovations1818-98572412-9372Издательский дом «Белорусская наука»10.29235/1818-9857-2021-1-80-83innosfera-171Research ArticleДИССЕРТАЦИОННЫЕ ИССЛЕДОВАНИЯDISSERTATION RESEARCHЛечение и профилактика кровотечений из варикозно расширенных вен пищеводаTreatment and prevention of bleeding from varicose veins of the esophagusМогилевецЭ.MogilevetsE.

заведующий 1-й кафедрой хирургических болезней, кандидат медицинских наук, доцент

emogilevec@yandex.ruГродненский государственный медицинский университетBelarus202116122022018081Copyright © Издательский дом «Белорусская наука», 20222022Издательский дом «Белорусская наука»Издательский дом «Белорусская наука»https://innosfera.belnauka.by/jour/about/submissions#copyrightNoticehttps://innosfera.belnauka.by/jour/article/view/171

Тяжелое осложнение цирроза печени, портальная гипертензия – одна из причин гастроэзофагельных варикозных кровотечений, ведущих к высокой летальности. В работе анализируются непосредственные и отдаленные результаты лапароскопической эзофагогастральной деваскуляризации без транссекции пищевода и спленэктомии, выполненной впервые в 2011 г. в ГКБ №4 г. Гродно, в лечении и профилактике рецидивирующих кровотечений из варикозно расширенных вен пищевода. Показана высокая эффективность метода и целесообразность дальнейших исследований по его применению.

Liver cirrhosis is the result of various chronic liver diseases. Portal hypertension is a serious complication of cirrhosis. Its consequences, in turn, along with other complications are gastroesophageal varicose bleeding, which cause high mortality rates. The article contains analysis of the results of laparoscopic esophagogastric devascularization without esophageal transsection and splenectomy in a patient with liver cirrhosis portal hypertension and recurrent bleeding from varicose veins of the esophagus. First successful surgery according to this method was introduced in the Grodno Municipal Clinical Hospital No. 4 in November 2011. Immediate and long-term results show a rather high efficiency of using this operation in the treatment and prevention of bleeding from varicose veins of the esophagus with cirrhosis. It is advisable to conduct further studies of the effectiveness of using this operation, despite the encouraging results of the use of this modification of laparoscopic esophagogastric devascularization.

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The authors declare that there are no conflicts of interest present.