UDK: 616.36-089.843

ANALYSIS OF FOUR-YEAR MANAGEMENT OF PATIENTS WITH VARICOSE BLEEDING IN THE WAITING LIST FOR LIVER TRANSPLANTATION IN ROSTOV REGION

V.L. Korobka1,2, E.S. Pak1,2, M.Yu. Kostrykin1, A.V. Tkachev1,2, N.I. Balin1, .M. Shapovalov1, .M. Babieva1

1ГБУ РО «Ростовская областная клиническая больница»; 2ФГБОУ ВО «Ростовский государственный медицинский университет» Министерства здравоохранения Российской Федерации

Abstract

Varicose bleeding is one of the most frequent and severe clinical manifestations of liver cirrhosis. The aim of this study was analyze of the clinical outcome of patients with varicose bleeding in the waiting list for liver transplantation (WL LT). Clinical, laboratory and instrumental data of 134 patients from WL LT were analyzed. Patients were distributed to 4 groups according to clinical outcome in WL LT: delisting, follow-up, death, orthotopic liver transplantation (OLP). Endoscopic ligation was performed in 21 patients (follow-up period from 0 to 33 months in WL LT), TIPS – 7 patients (follow-up period from 2 to 36 months.), azygoportal separation – 18 patients (follow-up period from 4 to 48 months in WL LT). The development of criteria for the priority and timeliness of measures to prevent varicose bleeding is a prerequisite for reducing mortality in the WL LT.

Keywords

liver transplantation, liver cirrhosis, varicose bleeding.

Contacts

Пак Екатерина Сергеевна – врач-гастроэнтеролог, Ростовская областная клиническая больница, аспирант кафедры пропедевтики внутренних болезней, Ростовский государственный медицинский университет, e-mail: katya_pack-k@mail.ru