SURGICAL PROPHYLAXIS AND TREATMENT OF GASTROESOPHAGEAL HEMORRHAGE IN PORTAL-HYPERTENSION

The article discusses the techniques of a two-stage combined separating intervention and instrumental division of the esophagus for the prevention and treatment of gastroesophageal hemorrhage in portal hypertension. The sequence of the stages of the operation is determined according to the emergency situation, the condition of hepatic function, and the presence of signs of hypersplenism. Separating interventions were carried out in 12 patients, one patient died in the immediate postoperative period. Complications were encountered in 4 patients. The patients who survived were examined in follow-up periods of 3 to 14 months, neither recurrent hemorrhages nor hepatic encephalopathy occurred. Varicosity of the esophageal and gastric veins disappeared and reduced in 10 patients.