Laparoscopic operations in a treatment of patients with bleeding from varicose veins of the stomach with cirrhosis of the liver
EAES Academy. Grubnik Y. 07/05/22; 363062; P107
Prof. Dr. Yuri Grubnik
Contributions
Contributions
Abstract
Aim
To reduce mortality and morbidity in patients with cirrhosis of the liver from bleeding varicose veins of the stomach due to laparoscopic operations in combination with endoscopic hemostasis.
Methods and materials
97 patients with cirrhosis of the liver with bleeding from varicose veins of the stomach were treated under the supervision in the last 5 years. Out of these, in 59 patients bleeding from the veins of the stomach was combined with bleeding from the veins of the esophagus. in 86 patients local endoscopic hemostasis was performed with ligation of varicose veins of the esophagus and stomach using rubber bands “Boston Scientific” according to the method of Stiegmann - Goff. Danish stent was used to stop bleeding in 17 cases. In 21 cases, endoscopic injection of “Immuno” fibrin glue was performed para- and intravasal. After stopping bleeding, laparoscopic fundus and body of the stomach resections were performed in 38 cases. In 59 cases, repeated endoscopic hemostasis was performed after 1,3,6 months.
Results
Out of 38 patients who underwent laparoscopic resections of the fundus and body of the stomach: in 4 cases, recurrent bleeding was observed after 6 months, which was stopped by the use of endoscopic hemostasis in 2 cases, in other 2 cases patients died. In 2 cases, a subphrenic abscess was observed, which was punctured under ultrasound control. In 59 cases where endoscopic prolonged hemostasis were performed, we observed a relapse in 21 patients. In 12 cases, it was possible to stop bleeding by the endoscopic method. 9 patients died.
Conclusions:
The use of laparoscopic operations in patients with varicose veins of the stomach decreased mortality from 15 to 6 percent (%).
To reduce mortality and morbidity in patients with cirrhosis of the liver from bleeding varicose veins of the stomach due to laparoscopic operations in combination with endoscopic hemostasis.
Methods and materials
97 patients with cirrhosis of the liver with bleeding from varicose veins of the stomach were treated under the supervision in the last 5 years. Out of these, in 59 patients bleeding from the veins of the stomach was combined with bleeding from the veins of the esophagus. in 86 patients local endoscopic hemostasis was performed with ligation of varicose veins of the esophagus and stomach using rubber bands “Boston Scientific” according to the method of Stiegmann - Goff. Danish stent was used to stop bleeding in 17 cases. In 21 cases, endoscopic injection of “Immuno” fibrin glue was performed para- and intravasal. After stopping bleeding, laparoscopic fundus and body of the stomach resections were performed in 38 cases. In 59 cases, repeated endoscopic hemostasis was performed after 1,3,6 months.
Results
Out of 38 patients who underwent laparoscopic resections of the fundus and body of the stomach: in 4 cases, recurrent bleeding was observed after 6 months, which was stopped by the use of endoscopic hemostasis in 2 cases, in other 2 cases patients died. In 2 cases, a subphrenic abscess was observed, which was punctured under ultrasound control. In 59 cases where endoscopic prolonged hemostasis were performed, we observed a relapse in 21 patients. In 12 cases, it was possible to stop bleeding by the endoscopic method. 9 patients died.
Conclusions:
The use of laparoscopic operations in patients with varicose veins of the stomach decreased mortality from 15 to 6 percent (%).
Aim
To reduce mortality and morbidity in patients with cirrhosis of the liver from bleeding varicose veins of the stomach due to laparoscopic operations in combination with endoscopic hemostasis.
Methods and materials
97 patients with cirrhosis of the liver with bleeding from varicose veins of the stomach were treated under the supervision in the last 5 years. Out of these, in 59 patients bleeding from the veins of the stomach was combined with bleeding from the veins of the esophagus. in 86 patients local endoscopic hemostasis was performed with ligation of varicose veins of the esophagus and stomach using rubber bands “Boston Scientific” according to the method of Stiegmann - Goff. Danish stent was used to stop bleeding in 17 cases. In 21 cases, endoscopic injection of “Immuno” fibrin glue was performed para- and intravasal. After stopping bleeding, laparoscopic fundus and body of the stomach resections were performed in 38 cases. In 59 cases, repeated endoscopic hemostasis was performed after 1,3,6 months.
Results
Out of 38 patients who underwent laparoscopic resections of the fundus and body of the stomach: in 4 cases, recurrent bleeding was observed after 6 months, which was stopped by the use of endoscopic hemostasis in 2 cases, in other 2 cases patients died. In 2 cases, a subphrenic abscess was observed, which was punctured under ultrasound control. In 59 cases where endoscopic prolonged hemostasis were performed, we observed a relapse in 21 patients. In 12 cases, it was possible to stop bleeding by the endoscopic method. 9 patients died.
Conclusions:
The use of laparoscopic operations in patients with varicose veins of the stomach decreased mortality from 15 to 6 percent (%).
To reduce mortality and morbidity in patients with cirrhosis of the liver from bleeding varicose veins of the stomach due to laparoscopic operations in combination with endoscopic hemostasis.
Methods and materials
97 patients with cirrhosis of the liver with bleeding from varicose veins of the stomach were treated under the supervision in the last 5 years. Out of these, in 59 patients bleeding from the veins of the stomach was combined with bleeding from the veins of the esophagus. in 86 patients local endoscopic hemostasis was performed with ligation of varicose veins of the esophagus and stomach using rubber bands “Boston Scientific” according to the method of Stiegmann - Goff. Danish stent was used to stop bleeding in 17 cases. In 21 cases, endoscopic injection of “Immuno” fibrin glue was performed para- and intravasal. After stopping bleeding, laparoscopic fundus and body of the stomach resections were performed in 38 cases. In 59 cases, repeated endoscopic hemostasis was performed after 1,3,6 months.
Results
Out of 38 patients who underwent laparoscopic resections of the fundus and body of the stomach: in 4 cases, recurrent bleeding was observed after 6 months, which was stopped by the use of endoscopic hemostasis in 2 cases, in other 2 cases patients died. In 2 cases, a subphrenic abscess was observed, which was punctured under ultrasound control. In 59 cases where endoscopic prolonged hemostasis were performed, we observed a relapse in 21 patients. In 12 cases, it was possible to stop bleeding by the endoscopic method. 9 patients died.
Conclusions:
The use of laparoscopic operations in patients with varicose veins of the stomach decreased mortality from 15 to 6 percent (%).
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