LONG-TERM RESULTS OF SURGICAL AND ENDOSCOPIC TREATMENT OF PATIENTS WITH BLEEDING OF PORTAL GENESIS

Аннотация

The research method was to determine the quality of life by calculating the calculated indicators of the SF-36 questionnaire in 338 patients aged 22 to 50 years who were urgently admitted for inpatient treatment for ongoing bleeding from varicose veins of the esophagus and stomach arising from portal hypertension cirrhotic origin. All study participants were divided into 2 groups depending on the methods used to stop bleeding: endoscopic ligation and / or sclerotherapy (group No. 1, n = 162) and surgical azigo-portal isolation according to M.D. Paсiora (group No. 2, n = 176). SF-36 values were determined before treatment, 3 months, 1, 2 and 3 years after treatment. Results. After 3 months, 1, 2 and 3 years after using endoscopic hemostasis methods, in all patients, without exception, the SF-36 indices were 11-74% higher than those who underwent surgery according to M.D. Paсiora. Conclusion. The use of endoscopic ligation and / or sclerotherapy in order to stop bleeding from varicose veins of the esophagus and stomach in patients of different sex and age provides for at least three years after the intervention a higher quality of life compared to that after the operation of azigo-portal dissociation according to the method of M.D. Paсiora