DC Field | Value | Language |
dc.contributor.author | Zastavnitchi, Gh. | - |
dc.contributor.author | Ciobanu, N. | - |
dc.contributor.author | Bunic, Gh. | - |
dc.contributor.author | Cotoban, N. | - |
dc.contributor.author | Dolghii, A. | - |
dc.contributor.author | Mishin, I. | - |
dc.date.accessioned | 2022-01-26T11:44:27Z | - |
dc.date.available | 2022-01-26T11:44:27Z | - |
dc.date.issued | 2012 | - |
dc.identifier.citation | ZASTAVNITCHI, Gh., CIOBANU, N., BUNIC, Gh., et al. Management of bleeding ectopic varices. In: MedEspera: the 4th Internat. Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2012, p. 173. | en_US |
dc.identifier.uri | http://repository.usmf.md/handle/20.500.12710/19668 | - |
dc.description.abstract | Introduction: Bleeding ectopic varices (EcV) are uncommon and a difficult conditions to manage.
The clinical data of patients diagnosed and treated for bleeding EcV were reviewed to investigate the
treatment strategy.
Material and Methods: Patients diagnosed with bleeding EcV over a period of 10 years were identified from the comprehensive surgical database of our institution.
Results: There were six patients (F-2, M-4) with the mean age of 46.8 ± 7.3 (20 to 76) years. The location of the EcV was: duodenal (DV, n=2), isolated gastric varices type 2 (IGV2) according Sarin classification (n=2), and rectal (RV, n=2). EcV were induced by liver cirrhosis (LC) - 2, posthrombotic portal
cavernoma (PC) - 1, LC+PC - 1, hepatocelullar carcinoma (HCC) +PC-1 and left-sided portal hypertension -1. The EcV were managed as an emergency in 4 (DV-2, IGV2-2) and elective in 2 with RV. Bleeding
EcV were managed by endoscopic ligation with HX-21L-1 (Olympus®, ET, Japan) device with mini-loop
MAJ-339 (n=2, DV and IGV2) and endoscopic ligation with HMBL-4 (Wilson-Cook®, Winston-Salem,
NC, SUA) (n=2, RV). Haemostatic efficacy was achieved in all cases. Surgery was performed in 2 pts:
for IGV2 - stapling fundectomy with splenectomy and for DV - surgical ligation of affected vessels. Inhospital lethality was - 1/6 (16.6%).
Conclusion: Bleeding EcV’s are a challenging emergency, haemostatic procedures depending on the
site, bleeding activity and local expertise. | en_US |
dc.language.iso | en | en_US |
dc.publisher | State Medical and Pharmaceutical University Nicolae Testemitanu, Medical Students and Residents Association, Scientific Association of Students and Young Doctors | en_US |
dc.relation.ispartof | MedEspera: The 4th International Medical Congress for Students and Young Doctors, May 17-19, 2012, Chisinau, Republic of Moldova | en_US |
dc.subject | varices | en_US |
dc.subject | ectopic | en_US |
dc.subject | bleeding | en_US |
dc.title | Management of bleeding ectopic varices | en_US |
dc.type | Other | en_US |
Appears in Collections: | MedEspera 2012
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