Minimally invasive ways to treat and prevent gastroesophageal portal bleeding

Aim. To analyze the results of minimally invasive techniques to prevent and treat gastroesophageal bleeding in patients with cirrhosis. Materials methods. The study included 997 liver cirrhosis: Child-Pugh class A – 21.7%; B 48.8%; C 29.5%. Esophageal varices Grades III–IV were diagnosed 95.5% patients, while gastric observed 17.4% patients. following methods used: endoscopic ligation, sclerotherapy, TIPS, laparoscopic azygoportal disconnection, distal splenorenal anastomosis. Results. Following procedures aimed at preventing onset bleeding, variceal recurrence 35.9% 18.6% cases, respectively. efficacy ligation case amounted 91.2%. Multiple provided means esophageal 56.2% Rebleeding was 9.3% persisted 34.3% TIPS found significantly reduce portal pressure grade varices, encephalopathy developing 41.4% In long-term period, stent dysfunction 22.5% recurred 10%. Laparoscopic disconnection contributed regression varices. 42.3% cases. anastomosis reliably prevented bleeding. No shunt thrombosis or lethal outcomes observed, incidence 14.7%. Conclusion. sufficient number are currently available treatment prevention case-specific approach choice measures treating cirrhosis is required, taking into account degree decompensation hypertension severity dysfunction.