[Surgical strategy for combined esophagogastroduodenal bleedings in liver cirrhosis patients with portal hypertension].
Under analysis were results of treatment of 83 patients with bleedings resulting from portal hypertension against the background of liver cirrhosis combined with ulcer disease of the stomach and/or duodenum. In 49.4% of the patients the sources of bleedings were varicose veins of the esophagus and stomach, in 37.3%--ulcers, in 13%--a combination of ulcer and erosion of the varicose veins. Emergency operations were made on 33.8% of patients, urgent--on 22.1%, planned operations on 45.1%. Recurrences were noted in 15.4% of urgent and emergency operations, lethality--10.3%. After planned operations lethality was 0%.
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Zhantalinova
D000328:Adult; D000368:Aged; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery*; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications*; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome