Zherlov G K, Rudaia N S, Koshevoĭ A P, Zykov D V, Chirkov D N, Karpovich A V, Zherlova T G, Butukhanov S B
Khirurgiia (Mosk). 2006(7):27-33.
New methods of prediction of bleeding from the esophageal varicose veins improve treatment outcomes. These methods consist of endoscopic assessment of varicose vein and mucous membrane with determination of thickness of the vein wall and mucosa, and also assessment of reflux-esophagitis with endoscopic ultrasonography. Original operation of azigoportal disconnection was performed in 13 patients followed-up after surgery from 1 to 4 years. The results obtained demonstrate high efficacy of this surgery for prophylaxis of repeated bleedings from esophageal varicose veins.
预测食管静脉曲张出血的新方法可改善治疗效果。这些方法包括通过内镜评估静脉曲张和黏膜,测定静脉壁和黏膜的厚度,以及通过内镜超声评估反流性食管炎。对13例患者实施了贲门周围血管离断术的原手术方式,并在术后进行了1至4年的随访。所获得的结果表明该手术在预防食管静脉曲张再次出血方面具有很高的疗效。