Diagnostic and therapeutic esophagogastroduodenoscopy in patients on the waiting list for liver transplantation

Objective: to assess the results of the treatment and prevention of hemorrhage from the esophageal varices (EV) in patients on the waiting list (WL) for liver transplantation (LT).Subjects and methods. Twenty-seven patients with portal hypertension-complicated hepatic cirrhosis of various etiologies...

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Main Authors: M. Sh. Khubutia, A. V. Chzhao, T. P. Pinchuk, E. I. Ermachenkova, A. O. Chugunov, E. V. Maslennikova, Yu. S. Teterin, S. S. Sogreshilin
Format: Article
Language:English
Published: N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare Department 2018-08-01
Series:Трансплантология (Москва)
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Online Access:https://www.jtransplantologiya.ru/jour/article/view/286
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author M. Sh. Khubutia
A. V. Chzhao
T. P. Pinchuk
E. I. Ermachenkova
A. O. Chugunov
E. V. Maslennikova
Yu. S. Teterin
S. S. Sogreshilin
author_facet M. Sh. Khubutia
A. V. Chzhao
T. P. Pinchuk
E. I. Ermachenkova
A. O. Chugunov
E. V. Maslennikova
Yu. S. Teterin
S. S. Sogreshilin
author_sort M. Sh. Khubutia
collection DOAJ
description Objective: to assess the results of the treatment and prevention of hemorrhage from the esophageal varices (EV) in patients on the waiting list (WL) for liver transplantation (LT).Subjects and methods. Twenty-seven patients with portal hypertension-complicated hepatic cirrhosis of various etiologies were treated at the N.V. Sklifosovsky Research Institute of Emergency Care in 2005 to 2010. All the patients were placed on the LT WL on the basis of clinical and instrumental studies. In addition to esophagogastroduodenoscopy (EGD), a set of instrumental studies comprised abdominal ultrasonography and dynamic and static liver scintigraphy.Results and discussion. Diagnostic EGD revealed grade 3 EV in all the 27 patients. There was a rather high rate of not only erosive gastroduodenitis, but also duodenal ulcer (22.2%).Conclusion. Diagnostic and therapeutic EGD in patients with severe portal hypertension can diagnose esophageal varix and a number of concomitant abnormal changes and apply a set of mini-invasive methods to arrest and prevent esophagogastrointestinal hemorrhage.
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publishDate 2018-08-01
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spelling doaj-art-dcf052878eb445c58d42c551f5df6d512025-08-20T02:55:45ZengN.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare DepartmentТрансплантология (Москва)2074-05062542-09092018-08-0103-45910.23873/2074-0506-2010-0-3-4-5-9275Diagnostic and therapeutic esophagogastroduodenoscopy in patients on the waiting list for liver transplantationM. Sh. Khubutia0A. V. Chzhao1T. P. Pinchuk2E. I. Ermachenkova3A. O. Chugunov4E. V. Maslennikova5Yu. S. Teterin6S. S. Sogreshilin7N.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareObjective: to assess the results of the treatment and prevention of hemorrhage from the esophageal varices (EV) in patients on the waiting list (WL) for liver transplantation (LT).Subjects and methods. Twenty-seven patients with portal hypertension-complicated hepatic cirrhosis of various etiologies were treated at the N.V. Sklifosovsky Research Institute of Emergency Care in 2005 to 2010. All the patients were placed on the LT WL on the basis of clinical and instrumental studies. In addition to esophagogastroduodenoscopy (EGD), a set of instrumental studies comprised abdominal ultrasonography and dynamic and static liver scintigraphy.Results and discussion. Diagnostic EGD revealed grade 3 EV in all the 27 patients. There was a rather high rate of not only erosive gastroduodenitis, but also duodenal ulcer (22.2%).Conclusion. Diagnostic and therapeutic EGD in patients with severe portal hypertension can diagnose esophageal varix and a number of concomitant abnormal changes and apply a set of mini-invasive methods to arrest and prevent esophagogastrointestinal hemorrhage.https://www.jtransplantologiya.ru/jour/article/view/286portal hypertensionliver scintigraphyesophagogastroduodenoscopyendoscopic ligationinfiltration hemostasis
spellingShingle M. Sh. Khubutia
A. V. Chzhao
T. P. Pinchuk
E. I. Ermachenkova
A. O. Chugunov
E. V. Maslennikova
Yu. S. Teterin
S. S. Sogreshilin
Diagnostic and therapeutic esophagogastroduodenoscopy in patients on the waiting list for liver transplantation
Трансплантология (Москва)
portal hypertension
liver scintigraphy
esophagogastroduodenoscopy
endoscopic ligation
infiltration hemostasis
title Diagnostic and therapeutic esophagogastroduodenoscopy in patients on the waiting list for liver transplantation
title_full Diagnostic and therapeutic esophagogastroduodenoscopy in patients on the waiting list for liver transplantation
title_fullStr Diagnostic and therapeutic esophagogastroduodenoscopy in patients on the waiting list for liver transplantation
title_full_unstemmed Diagnostic and therapeutic esophagogastroduodenoscopy in patients on the waiting list for liver transplantation
title_short Diagnostic and therapeutic esophagogastroduodenoscopy in patients on the waiting list for liver transplantation
title_sort diagnostic and therapeutic esophagogastroduodenoscopy in patients on the waiting list for liver transplantation
topic portal hypertension
liver scintigraphy
esophagogastroduodenoscopy
endoscopic ligation
infiltration hemostasis
url https://www.jtransplantologiya.ru/jour/article/view/286
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