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DEFINITION OF VASCULAR DENSITY IN THE STOMACH WALL BY ENDOSONOGRAPHY IN PATIENTS WITH PORTAL HYPERTENSION

https://doi.org/10.21886/2219-8075-2015-2-63-67

Abstract

Purpose: in patients with portal hypertension develop a system for calculating the density of the vascular anterior wall of the stomach, to determine the optimal zone esophagogastric anastomosis formation.

Materials and methods.: fifty patients with cirrhosis and portal hypertension, varying degrees of varicose veins of the oesophagus and stomach, performed an endoscopy and endosonography. Investigation of the body of the stomach, with the definition of the thickness of the front wall, visualization submucosal venous Doppler mode, defined linear and volumetric parameters of vessels.

Results: the system of calculation of vascular density in the tissue was implemented. Indicator of vascular density in tissues is variable and is proportional to the degree of varicose veins, it indicate the smallest area of vascularization.

Summary: system for determining the vascular density of the stomach wall allows an objective approach to site selection forming esophagogastric anastomosis.

About the Authors

A. M. Shapovalov
Rostov regional clinical hospital, Rostov State Medical University, Department of Surgical Diseases FT and RS
Russian Federation


M. F. Cherkasov
Rostov State Medical University, Department of Surgical Diseases FT and RS
Russian Federation


V. L. Korobka
Rostov regional clinical hospital, Rostov State Medical University, Department of Surgical Diseases FT and RS
Russian Federation


References

1. Жигалова, С.Б. Современный подход к проблеме эндоскопической диагностики и лечения варикозно расширенных вен пищевода и желудка / С.Б. Жигалова, А.Г. Шерцингер, Т.С. Семенова // Неотл. мед. пом. – 2012. – №3. – С.21-24

2. Soehendra, N., Binmoeller K.F. Therapeutic endoscopy: Color atlas of operative techniques for the gastrointestinal tract. 2-nd ed. // N. Soehendra, K.F. Binmoeller / – Stuttgart-New York: Thieme, 2004. – 220 p.

3. Seicean, A. Endoscopic ultrasound in the diagnosis and treatment of upper digestive bleeding: a useful tool / A. Seicean // Gastrointestin Liver Dis. – 2013. – Vol. 22(4). – P. 465-469.

4. Hammoud, G.M., Utility of endoscopic ultrasound in patients with portal hypertension / G.M. Hammoud, J.A. Ibdah // World J Gastroenterol. – 2014. – Vol. 20(39). – P.14230-14236.

5. Shim, J.J. Usefulness of endoscopic ultrasound in esophagogastric varices / J.J. Shim // Clin Endosc. – 2012. – Vol. 45(3). – P. 324-327.

6. Sato, T. Usefulness of electronic radial endoscopic color Doppler ultrasonography in esophageal varices: comparison with convex type / T. Sato, K. Yamazaki, J. Toyota [et al.] // J Gastroenterol. – 2006. – No.41. – P.28-33.

7. Hsieh, J.S. Modifed devascularization surgery for isolated gastric varices assessed by endoscopic ultrasonography / J.S. Hsieh, W.M. Wang, D.S. Perng [et al.] // Surg Endosc. – 2004. – No. 18. – P.666-671.

8. Жерлов, Г.К. Операция азигопортального разобщения при варикозном расширении вен пищевода / Г.К. Жерлов, Т.Г. Жерлова, А.П. Кошевой [и др.] // Бюллетень сибирской медицины. – 2007. – № 3. – С.76-82.

9. Оноприев, В.И. Азигопортальное разобщение с формированием арефлюксной кардии при варикозном расширении вен пищевода / В.И. Оноприев, В.М. Дурлештер, О.А. Усова [и др.] // Хирургия. – 2007. – №5. – С.9-12.

10. Гарелик, П.В. Операции азигопортального разобщения в профилактике и лечении кровотечений из варикозно расширенных вен пищевода и желудка / П.В. Гарелик, Э.В. Могилевец, Г.Г. Мармыш // Журнал Гродненского государственного мед. университета. – 2011. – №3(35). – С.7-11.


Review

For citations:


Shapovalov A.M., Cherkasov M.F., Korobka V.L. DEFINITION OF VASCULAR DENSITY IN THE STOMACH WALL BY ENDOSONOGRAPHY IN PATIENTS WITH PORTAL HYPERTENSION. Medical Herald of the South of Russia. 2015;(2):63-67. (In Russ.) https://doi.org/10.21886/2219-8075-2015-2-63-67

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ISSN 2219-8075 (Print)
ISSN 2618-7876 (Online)