ABSTRACT
Aim: The aim was to improved results of treatment of patients with threatened or held bleeding from esophageal varices on the background of liver cirrhosis. Materials and Methods: The analysis of the survey results and endoscopic treatment of 40 patients with liver cirrhosis complicated by threatened or held bleeding from esophageal varices. The effectiveness of the treatment was assessed by the dynamics of recourse degree esophageal varices, presence and character of postoperative complications and mortality. Results: Application of endoscopic ligation as primary and secondary prevention of bleeding from esophageal varices can improve the immediate and long-term results of treatment of patients with liver cirrhosis complicated by portal hypertension. Prevention of bleeding from esophageal varices is a dynamic endomonitoringe supplemented with repeated courses of endoscopic ligation.
Subject(s)
Endoscopy, Digestive System , Esophageal and Gastric Varices , Gastrointestinal Hemorrhage , Liver Cirrhosis , Adult , Esophageal and Gastric Varices/complications , Esophageal and Gastric Varices/diagnostic imaging , Esophageal and Gastric Varices/surgery , Female , Gastrointestinal Hemorrhage/diagnostic imaging , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Hemorrhage/prevention & control , Humans , Liver Cirrhosis/complications , Liver Cirrhosis/diagnostic imaging , Liver Cirrhosis/surgery , Male , Middle AgedABSTRACT
An analysis of efficacy of radiofrequency ablation (RFA) is presented in this article in 55 patients with liver cancer (82 interventions). According to the data of ultrasound investigations and computer tomography taken after 12 months from the first procedure, there weren't noted the growth of foci, which were subjected to RFA. Recurrent sessions using RFA were carried out on liver tumors in 6 patients after 3-11 months because of big size of primary lesion or newly revealed liver metastases. The cumulative one-year survival consisted of 88,2+/-7,9%, two-year survival - 68,0+/-14,1%.
