title: [Enteral detoxication in patients with liver cirrhosis and bleeding from the esophageal and gastric varices ].
abstract: A new method of enteral detoxication with the use of both well-known medicines ("Normase", "Sorbit") and new medicine-"Rafinosa" is described. Clinical effectiveness (normalization of neurological status) of these medicines correlates with normalization of blood amino acids unbalance, decrease of the catabolic processes and accumulation of toxic products of nitrogenous metabolism. All the above medicines (Italian made "Normase", "Sorbit" and Russian made "Rafinosa") are equally important for clinical practice. Enternal detoxication may be effective only in case of preventing relapsing bleeding by all possible measures from endoscopic thrombosing and endovascular embolisation of varicose veins to direct surgical operation on the esophageal and cardial veins.
authors.affiliation: Department of Abdominal Surgery and Portal Hypertension of NTsKh, Moscow.
authors.forename: A G
authors.initials: AG
authors.lastname: Shertsinger
authors.forename: G V
authors.initials: GV
authors.lastname: Manuk'ian
authors.forename: A V
authors.initials: AV
authors.lastname: Bour
authors.forename: I U
authors.initials: IU
authors.lastname: Umruzakov
mesh_terms: D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic / Q000379:methods; D016145:Endoscopy, Digestive System; D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000628:therapy*; D005751:Gastric Lavage / Q000379:methods; D005765:Gastrointestinal Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D007792:Lactulose / Q000008:administration & dosage / Q000627:therapeutic use*; D008103:Liver Cirrhosis / Q000150:complications / Q000378:metabolism / Q000628:therapy*; D012008:Recurrence; D016060:Sorption Detoxification / Q000379:methods*; D016896:Treatment Outcome; D014508:Urea / Q000378:metabolism
chemical_list: D005765:Gastrointestinal Agents; D007792:Lactulose; D014508:Urea
vernacular_title: Enteral'naia detoksikatsiia u bol'nykh tsirrozom pecheni i krovotecheniem iz varikozno-rasshirennykh ven pishchevoda i zheludka.