Evolution of Azigoportal Dissociation Technologies in Prevention of Bleedings of Portal Genesis
https://doi.org/10.16931/1995-5464.2018-1-65-73
Abstract
Esophageal and stomach varicose veins is one of the most frequent and serious complications of portal hypertension with incidence about 80–90% among liver cirrhosis patients. In developing countries hemorrhage-related mortality is up to 60%, in countries with well-established hepatology services – 20%. This value is near 24.4% among liver cirrhosis patients waiting for transplantation. In multiple clinical recommendations and protocols for prevention and treatment of bleeding transjugular intrahepatic portosystemic shunting is posed as preferable treatment, however it is associated with early encephalopathy and the risk of TIPS thrombosis. The possibilities of TIPS are significantly limited in case of spleno-portal pool thrombosis. In view of disadvantages of conventional bypass procedures azigoportal dissociation is under close attention.
About the Authors
F. G. Nazyrov
Vakhidov Republican Specialized Center of Surgery
Uzbekistan
Uzbekistan
10, Kichik Xalka Yuli, Tashkent, p/o box: 100115, Uzbekistan
Doct. of Med. Sci., Professor, Head of the Department of Portal Hypertension and Pancreatoduodenal Zone Surgery, Director of Vakhidov Republican Specialized Center of Surgery, Tashkent
A. V. Devyatov
Vakhidov Republican Specialized Center of Surgery
Uzbekistan
Uzbekistan
10, Kichik Xalka Yuli, Tashkent, p/o box: 100115, Uzbekistan
Doct. of Med. Sci., Professor, Chief Researcher of the Department of Portal Hypertension and Pancreatoduodenal Zone Surgery of Vakhidov Republican Specialized Center of Surgery, Tashkent
A. Kh. Babadzhanov
Vakhidov Republican Specialized Center of Surgery
Uzbekistan
Uzbekistan
10, Kichik Xalka Yuli, Tashkent, p/o box: 100115, Uzbekistan
Doct. of Med. Sci., Senior Researcher of the Department of Portal Hypertension and Pancreatoduodenal Zone Surgery of Vakhidov Republican Specialized Center of Surgery, Tashkent
U. R. Salimov
Vakhidov Republican Specialized Center of Surgery
Uzbekistan
Uzbekistan
10, Kichik Xalka Yuli, Tashkent, p/o box: 100115, Uzbekistan
Phone: 99890-925-88-38
Junior Researcher of the Department of Portal Hypertension and Pancreatoduodenal Zone Surgery of Vakhidov Republican Specialized Center of Surgery, Tashkent
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For citations:
Nazyrov F.G., Devyatov A.V., Babadzhanov A.Kh., Salimov U.R. Evolution of Azigoportal Dissociation Technologies in Prevention of Bleedings of Portal Genesis. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2018;23(1):65-73. (In Russ.) https://doi.org/10.16931/1995-5464.2018-1-65-73
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