Efficacy of the staged endoscopic ligature of the varicose veins in children, suffering portal hypertension

Keywords: endoscopic ligature of the varicose veins in children; portal hypertension; varicose hemorrhage

Abstract

Objective. To estimate the efficacy of first procedure of endoscopic ligature for the varicose esophageal veins in children, suffering portal hypertension in accordance to data of endoscopic examination.

Materials and methods. Endoscopic ligature of the varicose esophageal veins was performed in 24 patients, suffering portal hypertension, aiming at prophylaxis of hemorrhage from the varicose veins.

Results. Reduction of the varicose veins degree after first ligature procedure was observed in 14 (58.33%) children, eradication of the varicose veins - in 5 (20.83%) of them. In 1 (4.17%) patient a complication (hemorrhage) have occurred in a moment of a ligature application. In 2 (8.33%) patients a hemorrhage from the varicose veins of stomach have occurred.

Conclusion. Endoscopic ligature constitutes a secure and effective prophylactic method for hemorrhage from the esophageal varicose in children, suffering portal hypertension, and permits to control the varicose degree on stages of the portal hypertension treatment. Even after first procedure of endoscopic ligature the esophageal varicose degree have had reduced at average (p < 0.05). After endoscopic ligature the hemorrhage occurrence risk have reduced: p=0.05, and the risks ratio constitutes 0.14 (95% CI 0.04-0.56).

Author Biographies

D. I. Voroniak, Bogomolets National Medical University, Kyiv

Voroniak Dariia I, MD, PhD (Med) Student
Diagnostic Department,
National Children Specialized Hospital “Ohmatdit”,
28/1 Chornovola Str., 01135, Kyiv, Ukraine,
tel. +380934974913, +380442366972,
Pediatric Surgery Department,
Bogomolets National Medical University,
28/1 Chornovola Str., 01135, Kyiv, Ukraine,
tel. +380442367052.
E-mail: dania19@icloud.com
ORCID: 0000-0003-3201-6632.

O. S. Godik, Bogomolets National Medical University, Kyiv

Godik Oleg S, MD, PhD (Med), Associate Professor,
Pediatric Surgery Department,
Bogomolets National Medical University,
28/1 Chornovola Str., 01135, Kyiv, Ukraine,
tel. +380442367052.
E-mail: ogodik@gmail.com.
ORCID: 0000-0002-1084-9484.

I. V. Kolomoiets, National Pediatric Specialized Hospital «Okhmadyt», Kyiv

Kolomoiets Iryna V,
Chief of Diagnostic Department,
National Children Specialized Hospital “Ohmatdit”,
28/1 Chornovola Str., 01135, Kyiv, Ukraine,
tel. +380442366972.
E-mail: iryna.kolomoiets@ukr.net
ORCID: 0000-0002-6808-0321.

O. G. Dubrovin, Bogomolets National Medical University, Kyiv

Dubrovin Oleksandr G, MD, DSci(Med), Professor
Department of Pediatric Surgery,
Bogomolets National Medical University,
28/1 Chornovola Str., 01135, Kyiv, Ukraine,
tel. +380442367052.
ORCID: 0000-0003-2332-0210
E-mail: dag52@ukr.net

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Published
2019-10-21
How to Cite
Voroniak, D. I., Godik, O. S., Kolomoiets, I. V., & Dubrovin, O. G. (2019). Efficacy of the staged endoscopic ligature of the varicose veins in children, suffering portal hypertension. Klinicheskaia Khirurgiia, 86(10), 24-27. https://doi.org/10.26779/2522-1396.2019.10.24
Section
General Problems of Surgery