title: [Pathogenesis of esophageal and gastric varicose veins formation in patients with liver cirrhosis].
abstract: OBJECTIVE
  studying the features of the collateral venous blood flow and the basic ways of the formation of gastroesophageal varices in patients with cirrhosis and portal hypertension.
  
  
  METHODS
  The following analysis is based on the interpretation of results from percutaneous transhepatic splenoportography in 85 patients. It has been established that in all 85 patients the left gastric vein plays a key role in the formation of gastroesophageal varices.
  
  
  RESULTS
  It is established that a leading collector in 100% of observations participating in formation gastroesophageal varices, is the left gastric vein. In work the attention is focused on an insufficient estimation of a role of a back gastric vein in a pathogenesis of varicose transformation. From 85 observations its presence is taped in 58 (68%) cases, and, at 19 (22%) patients its expansion isn'ted in a combination to expansion left gastric vein, and at 39 (46%) patients - in a combination with left gastric vein and short veins of a stomach.
  
  
  CONCLUSIONS
  The obtained data on the formation mechanism of varicose expanded veins of an esophagus and a stomach defines necessity of changes for algorithm of inspection of patients for the purpose of diagnostics of features of a venous blood flow of a stomach and an esophagus and definition of surgical tactics concerning volume pre- or intraoperational blockade of the basic venous collectors.
authors.forename: A G
authors.initials: AG
authors.lastname: Shertsinger
authors.forename: G V
authors.initials: GV
authors.lastname: Manuk'ian
authors.forename: V G
authors.initials: VG
authors.lastname: Manuk'ian
authors.forename: V A
authors.initials: VA
authors.lastname: Cherkasov
authors.forename: S B
authors.initials: SB
authors.lastname: Zhigalova
authors.forename: V V
authors.initials: VV
authors.lastname: Khovrin
authors.forename: Kh Kh
authors.initials: KhKh
authors.lastname: Aliev
authors.forename: D V
authors.initials: DV
authors.lastname: Tsaava
mesh_terms: D000328:Adult; D000368:Aged; D004947:Esophagus / Q000098:blood supply / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D011172:Portography / Q000379:methods; D012039:Regional Blood Flow; D013270:Stomach / Q000098:blood supply / Q000000981:diagnostic imaging; D014648:Varicose Veins / Q000000981:diagnostic imaging / Q000209:etiology