Esophageal Hemorrhagic Syndromes
https://doi.org/10.29413/ABS.2019-4.3.10
Abstract
Esophageal bleeding is one of the most common medical emergencies. It takes the 3rd place among all digestive hemorrhages, and accounts for 14–16 % among all gastrointestinal bleeding. The most common cause of esophageal hemorrhages is Mallory – Weiss esophageal tear (10–12 %), less often – varicose veins of the esophagus in portal hypertension syndrome (up to 4 %) and, in some cases, is esophagitis of various etiologies (up to 1.6 %). The problem of esophageal bleeding is characterized by high incidence, high mortality rate due to constant increase of portal hyper tension cases, recurrences, difficulties in diagnosis, anatomical and physiological features of the esophagus, low efficiency of the main methods of hemostasis. There are various surgical and conservative methods of hemostasis, which show a variety of opinions in the solution to the problem of stopping esophageal bleeding. In Mallory – Weiss syndrome, endoscopic hemostasis is considered to be the preferred method of treatment. Management of portal hypertension is the most difficult task; a wide range of operations is used from the minimally invasive operations to the liver transplantation, as well as endoscopic hemostasis (ligation, sclerotherapy). In esophageal bleeding, due to reflux esophagitis, mainly conservative treatment is suggested, operations are performed with recurrences or complications. Each kind of esophageal hemorrhage is considered as a separate problem.
About the Authors
V. A. Beloborodov
Irkutsk State Medical University
Russian Federation
Russian Federation
Vladimir A. Beloborodov – Dr. Sc. (Med.), Professor, Head of the Department of General Surgery and Anesthesiology
ul. Krasnogo Vosstaniastania 1, Irkutsk 664003
M. A. Kozhevnikov
Irkutsk State Medical University
Russian Federation
Russian Federation
Mikhail A. Kozhevnikov – Cand. Sc. (Med.), Teaching Assistant at the Department of General Surgery and Anesthesiology
ul. Krasnogo Vosstaniastania 1, Irkutsk 664003
E. A. Kelchevskay
Irkutsk State Medical University
Russian Federation
Russian Federation
Elena A. Kelchevskaya – Cand. Sc. (Med.), Associate Professor at the Department of General Surgery and Anesthesiology
ul. Krasnogo Vosstaniastania 1, Irkutsk 664003
I. J. Oleynikov
Irkutsk State Medical University
Russian Federation
Russian Federation
Igor Yu. Oleynikov – Cand. Sc. (Med.), Teaching Assistant at the Department of General Surgery and Anesthesiology
ul. Krasnogo Vosstaniastania 1, Irkutsk 664003
A. P. Frolov
Irkutsk State Medical University
Russian Federation
Russian Federation
Alexandr P. Frolov – Cand. Sc. (Med.), Associate Professor at the Department of General Surgery and anesthesiology
ul. Krasnogo Vosstaniastania 1, Irkutsk 664003
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Review
For citations:
Beloborodov V.A., Kozhevnikov M.A., Kelchevskay E.A., Oleynikov I.J., Frolov A.P. Esophageal Hemorrhagic Syndromes. Acta Biomedica Scientifica. 2019;4(3):81-88. (In Russ.) https://doi.org/10.29413/ABS.2019-4.3.10
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