Minimally Invasive Interventions in Portal Hypertension Complication with Esophageal and Gastric Varicose Veins

Abstract

Purpose: when bleeding from esophageal and gastric varices is observed in patients complicated by portal hypertension and to prevent further bleeding, using old methods (use of Sengestaken-Blackmore probe, permanent ice pack in epigastric area and lower third of thoracic area, large operative wounds) choosing the modern best minimally invasive intervention without leaving or hurting.

Material and methods. Staged endoscopic practice in 2020-2022 in all 32 patients who re-applied to the multidisciplinary clinic of the 1st faculty and hospital surgery department of the Tashkent Medical Academy in inpatient conditions of portal hypertension (PH) with bleeding complications from esophageal and gastric varices (EGV) done.

Results and their discussion. Endoscopic sclerotherapy (ES) is preferred when there is a high risk of bleeding from varicose veins detected during surveillance endoscopy or within 6-24 hours after initial conservative therapy and balloon tamponade. If bleeding has stopped on its own during the examination, ES is considered an indication to prevent rebleeding.

Conclusion: We do not want to see this method as a cure, but we consider it as a method that can help the patient in an urgent situation, and after this method, in order to prevent bleeding, prolong the patient's life and reduce other complications, it is necessary to carry out endovascular operation, and then liver transplantation.