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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/19316
Title: Medico-surgical approach to recurrent non-cirrhotic bleeding esophageal varices
Authors: Cazacov, Vladimir
Iliadi, Alexandru
Focșa, Alexandru
Lisnic, Natalia
Găină, Cristina
Keywords: non-cirrhotic BEV;surgical approach
Issue Date: 2021
Publisher: Universitatea de Stat de Medicină şi Farmacie "Nicolae Testemiţanu" din Republica Moldova
Citation: CAZACOV, Vladimir, ILIADI, Alexandru, FOCȘA, Alexandru, et al. Medico-surgical approach to recurrent non-cirrhotic bleeding esophageal varices: [poster]. In: Conferinţa ştiinţifică anuală "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță", 20-22 octombrie 2021: culegere de postere. 2021, p. 104.
Abstract: Introduction The management of the patient with digestive hemorrhage from esophageal varices represent a real challenge for the multidisciplinary team and encompass a broad spectrum of therapeutical gestures. Purpose The analysis of diagnostic and therapeutic particularities of a patient with non-cirrhotic bleeding esophageal varices(BEV). Material and methods: We report the case of a 39 years old patient hospitalized for recurrent BEV (4 hemorrhagic episodes in antecedents and 2 banding sessions). Results At the admission: mild anemia, thrombocytopenia- 56 000/µL, urea/creatinine and transaminases within normal ranges; EcoDoppler: splenomegaly, recanalized splenicportal thrombosis, incriminated as a pathogenic factor for the hemorrhages; EGDS- varices grade III. The multidisciplinary team confirmed a potential risk of BEV, splenomegalyhypersplenism. It is proposed and practiced azygo-portal disconnection Hassab, splenectomy. Intraoperative is diagnosed a healthy liver, severe intra-abdominal fibrosis(previous operated for peritonitis), splenomegaly and gastric venous collaterals. The postoperator evolution was favorable, patient was discharged surgical healed. Conclusions This case is an illustration of the medical complex management, both endoscopic and surgical, incriminated in non-cirrhotic BEV, a condition with an increased clinical polymorphism and which raises many therapeutic and evolutive dilemmas.
metadata.dc.relation.ispartof: Conferinţa ştiinţifică anuală "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță", 20-22 octombrie 2021
URI: http://repository.usmf.md/handle/20.500.12710/19316
Appears in Collections:Conferinţa ştiinţifică anuală "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță", 20-22 octombrie 2021: Culegere de postere

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