Endoscopic Prophylaxis and Treatment of Portal-Genesis Oesophageal Haemorrhage

Background. Portal hypertension-triggered oesophageal and gastric variceal bleeding is the most dangerous threatening complication, with an up to 50–70 % mortality at first episode. High-mortality repeated develops subsequently in 30–50 patients, proved 100 recurrence rate two years following The world experience dictates further research continue towards developing new surgical methods approaches. Aim: evaluate treatment efficacy of pneumatic endoscopic band ligation varices (OV). Materials methods. applying patients managed General Surgery Unit Clinical Hospital Kyrgyz Republic Presidential Administration during 2017–2019 was analysed. Endoscopic a modern minimally invasive less traumatic intervention used markedly reduce improve quality life portal hypertension syndrome. evidence on 76 OV summarised. patient age ranged from 11 70 (mean 46.26 years); 40 men (52.6 %) 36 women (47.4 were included. Among caused by viral cirrhosis 38, hepatitis B 5, delta agent 18, C 13, B–C combination 1 — patient. In 21 unknown aetiology. A vein malformation observed 13 people whom 4 had it combined thrombosis. Results. total 94 procedures performed grade II–III OV. Some needed undergo procedure several times, 18 2 sessions. Two cases required 3 sessions each. Moderate soreness reported 32 for 1–6 days ligation. No complications registered operation. early postoperative period, developed recurrent bleeding, haemostasis re-achieved below bleeding. Conclusion . Hence, small invasiveness minor traumatism coupled high efficiency lesser render method choice primary secondary prophylaxis improves patient’s life, allows extra time conservative longer period liver transplantation.