Results of Surgical Treatment of Bleeding From Esophageal and Gastric Varices in Patients With Hepatic Cirrhosis
The article presents the results of surgical treatment of bleeding from esophageal and gastric varices in patients with sub- and decompensated hepatic cirrhosis. The study included 62 patients. The average age was 46.7±15.2 years. The vast majority of patients had clinical signs of severe hepatic failure in accordance with the Child-Pugh criteria (class B - 24, class C - 38 patients). Among the patients, two groups were identified. In the control group, 20 patients underwent suturing of varicose veins (operation by M. D. Patsiora) due to the failure of conservative treatment. In the main group, 42 patients were operated on in a combined way in the early stages from the moment of admission. The results obtained indicated an increase in the survival rate of patients in the stage of sub- and decompensation, operated on in the early stages and by the proposed combined method.