Abstract | AIM: To investigate the condition of esophageal mucosa (EM) before and after surgical and endoscopic treatment of varicose esophageal veins (VEV). MATERIAL AND METHODS: EM was examined in 100 patients (64 males and 36 females aged 33-74 years, mean age 528 +/- 5.7 years) with hepatic cirrhosis (HC). Of them, 80 patients have undergone endoscopic ligation of the esophageal veins, 20 patients--surgical disconnection of the azigoportal blood flow according to the original method with additional fundoplication. All the patients had intrahepatic portal hypertension caused by HC of different etiology. RESULTS: Before operation, 70% patients had inflammation-induced alterations of the EM of different severity. Endoscopic ligation of the esophageal veins did not change the rate of EM inflammation detection. In operated patients reflux-esophagitis was detected significantly less frequently. CONCLUSION:
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Authors | O S Vasnev, O B Ianova, I O Koviazina |
Journal | Terapevticheskii arkhiv
(Ter Arkh)
Vol. 83
Issue 2
Pg. 9-12
( 2011)
ISSN: 0040-3660 [Print] Russia (Federation) |
PMID | 21516841
(Publication Type: Comparative Study, English Abstract, Journal Article)
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Topics |
- Adult
- Aged
- Esophageal and Gastric Varices
(complications, surgery)
- Esophagitis, Peptic
(complications, prevention & control)
- Female
- Fundoplication
(methods)
- Humans
- Ligation
- Male
- Middle Aged
- Treatment Outcome
- Vascular Surgical Procedures
(methods)
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