hepatoАнналы хирургической гепатологииAnnaly khirurgicheskoy gepatologii = Annals of HPB Surgery1995-54642408-9524НЭИКОН ИСП10.16931/1995-5464.2024-4-34-44hepato-1191Research ArticleЛЕЧЕНИЕ ОСЛОЖНЕННОЙ ПОРТАЛЬНОЙ ГИПЕРТЕНЗИИ: СОСТОЯНИЕ И ПЕРСПЕКТИВЫTREATMENT OF COMPLICATED PORTAL HYPERTENSION: CURRENT STATUS AND PROSPECTSПатоморфология сосудов портального бассейна и варикозная система желудка при внутрипеченочной форме портальной гипертензииPathomorphology of portal vascular beds and varicose veins of the stomach in intrahepatic portal hypertensionhttps://orcid.org/0000-0001-8064-1964МанукьянГ. В.ManukyanG. V.

Манукьян Гарик Ваганович – доктор мед. наук, заведующий лабораторией экстренной хирургии и портальной гипертензии ФГБНУ “РНЦХ им. акад. Б.В. Петровского”.

119991, Москва, ГСП-1, Абрикосовский пер., д. 2

Garik V. Manukyan – Doct. of Sci. (Med.), Head of the Laboratory of Emergency Surgery and Portal Hypertension, Petrovsky Russian Research Centre of Surgery.

2, Abrikosovsky lane, Moscow, 119991

drmanukyan@mail.ruhttps://orcid.org/0000-0002-8431-9179МаловС. Л.MalovS. L.

Малов Святослав Леонидович – врач по рентгенэндоваскулярной диагностике и лечению лаборатории экстренной хирургии и портальной гипертензии ФГБНУ “РНЦХ им. акад. Б.В. Петровского”.

119991, Москва, ГСП-1, Абрикосовский пер., д. 2

Svyatoslav L. Malov – Specialist in X-ray endovascular diagnostics and treatment, Laboratory of Emergency Surgery and Portal Hypertension, Petrovsky Russian Research Centre of Surgery.

2, Abrikosovsky lane, Moscow, 119991

malovs@mail.ruhttps://orcid.org/0000-0003-1006-3462ЖигаловаС. Б.GhigalovaS. B.

Жигалова Светлана Борисовна – доктор мед. наук, ведущий научный сотрудник лаборатории экстренной хирургии и портальной гипертензии ФГБНУ “РНЦХ им. акад. Б.В. Петровского”.

119991, Москва, ГСП-1, Абрикосовский пер., д. 2

Svetlana B. Zhigalova – Doct. of Sci. (Med.), Leading Researcher, Laboratory of Emergency Surgery and Portal Hypertension, Petrovsky Russian Research Centre of Surgery.

2, Abrikosovsky lane, Moscow, 119991

zhigalova06@mail.ruФГБНУ “Российский научный центр хирургии имени академика Б.В. Петровского”РоссияPetrovsky Russian Research Center of SurgeryRussian Federation2024191220242943444Copyright © Манукьян Г.В., Малов С.Л., Жигалова С.Б., 20242024Манукьян Г.В., Малов С.Л., Жигалова С.Б.Manukyan G.V., Malov S.L., Ghigalova S.B.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://hepato.elpub.ru/jour/article/view/1191

В статье рассмотрены современные взгляды на патологическую анатомию сосудов портального бассейна и, в частности, варикозной венозной системы желудка, механизмы гемодинамических изменений в венозном кровообращении у пациентов с внутрипеченочной формой портальной гипертензии. Акцент на состоянии венозной варикозной системы желудка обусловлен рядом сохраняющихся до настоящего времени нерешенных проблем, связанных с хирургической тактикой и дифференцированным выбором различных вмешательств при развитии варикозных вен желудка и угрозе кровотечения. Одним из важных условий эффективного лечения пациентов с варикозной трансформацией вен желудка является знание патоморфологии и гемодинамики венозной системы желудка. Работа направлена на ознакомление читателей с современными представлениями об особенностях архитектоники сосудов портального бассейна, патоморфологией варикозной венозной системы желудка при внутрипеченочной форме портальной гипертензии.

The present paper explores current views on the pathological anatomy of the vessels within the portal vascular bed with a specific focus on the gastric varices. In addition, it discusses the mechanisms of hemodynamic alterations in venous circulation among patients with intrahepatic portal hypertension. The emphasis on the condition of the gastric varices arises from a series of unresolved issues that persist regarding surgical strategies and the differentiated selection of various interventions in the context of gastric varices and the risk of bleeding. An understanding of the pathomorphology and hemodynamics of the gastric venous system is considered crucial for the effective treatment of patients with varicose transformation of the gastric veins.

Aim. To present current views on the architectural characteristics of the vessels within the portal vascular beds, as well as the pathomorphology of the gastric varices in the context of intrahepatic portal hypertension.

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The authors declare that there are no conflicts of interest present.