РОЛЬ ИНТЕРВЕНЦИОННОЙ ЭНДОСКОПИИ В ЛЕЧЕНИИ ПАЦИЕНТОВ С ВАРИКОЗНЫМИ КРОВОТЕЧЕНИЯМИ

Despite the existing methods of prevention and treatment, variceal bleeding (VB) remains the most dangerous complication and the main cause of death in this category of patients, and the mortality rate reaches 80 %. At the same time, the role of interventional endoscopy with primary hemostasis is still not defined. Objective – to evaluate the role of interventional endoscopy in the treatment of patients with variceal bleeding. Materials and methods. The analysis of 75 case histories of the patients with variceal bleeding treated in the multidisciplinary hospitals in Novokuznetsk in 2011-2017 was performed. All patients were admitted urgently, including 46 (61 %) men and 29 (39 %) women at the age of 51 ± 12.5. The patients were divided into 6 groups, depending on the activity of bleeding and the type of hemostasis. All groups were compared according to effectiveness of the hemostatic methods, the incidence of rebleeding and mortality rate. Results and conclusion . The use of an obturation tube is less effective than the endoscopic methods of primary hemostasis in active and in passed variceal bleeding. The mortality rate in patients with use of the obturation tube is 76.5 % in case of active bleeding and 83.3 % in case of passed one, which is significantly higher in comparison with the endoscopic hemostasis methods in both cases. Endoscopy for esophageal or gastric variceal bleeding should always be accompanied by primary endoscopic hemostasis regardless of bleeding intensity.