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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


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  • MedEspera 2012
    The 4th International Medical Congress for Students and Young Doctors, May 17-19, 2012

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