References

clinendo

Клиническая эндоскопия

Filin’s Clinical endoscopy

2415-7813

"Global Media technology" Ltd

10.31146/2415-7813-endo-66-4-13-22

clinendo-186

Research Article

ДЕТСКАЯ ЭНДОСКОПИЯ

PEDIATRIC ENDOSCOPY

Профилактика кровотечений из варикозно расширенных вен пищевода

Prevention of bleeding from varicose veins of the esophagus

https://orcid.org/0000-0002-8305-7592

Лохматов

М. М.

Lokhmatov

M. M.

noemail@neicon.ru

https://orcid.org/0009-0005-4451-856X

Лузганова

В. С.

Luzganova

V. S.

noemail@neicon.ru

https://orcid.org/0000-0001-5730-3684

Королев

Г. А.

Korolev

G. A.

korolevg.a@yandex.ru

https://orcid.org/0000-0003-4299-3269

Тупыленко

А. В.

Tupylenko

A. V.

noemail@neicon.ru

https://orcid.org/0000-0002-8805-8164

Олдаковский

В. И.

Oldakovskiy

V. I.

noemail@neicon.ru

https://orcid.org/0000-0002-7379-7298

Будкина

Т. Н.

Budkina

T. N.

noemail@neicon.ru

ФГАУ «Национальный медицинский исследовательский центр здоровья детей» Минздрава России; ФГАОУ ВО «Первый Московский государственный медицинский университет им. И. М. Сеченова» Минздрава России (Сеченовский Университет)National Medical Research Center for Children’s Health; First Moscow State Medical University named after I. M. Sechenov, (Sechenov University)

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И. М. Сеченова» Минздрава России (Сеченовский Университет)First Moscow State Medical University named after I. M. Sechenov, (Sechenov University)

ФГАУ «Национальный медицинский исследовательский центр здоровья детей» Минздрава РоссииNational Medical Research Center for Children’s Health

2024

06032025

6641322

2025

Лохматов М.М., Лузганова В.С., Королев Г.А., Тупыленко А.В., Олдаковский В.И., Будкина Т.Н.

Lokhmatov M.M., Luzganova V.S., Korolev G.A., Tupylenko A.V., Oldakovskiy V.I., Budkina T.N.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://clinendo.elpub.ru/jour/article/view/186

Актуальность. Кровотечение из варикозно расширенных вен пищевода (ВРВП) и желудка (ВРВЖ) занимает второе место среди причин желудочно-кишечного кровотечения. У пациентов с циррозом печени и портальной гипертензией (ПГ) кровотечение из ВРВП и ВРВЖ в 20% случаев в течение шести недель приводит к смерти. Для избежания кровотечений необходимо проводить первичную и вторичную профилактику. В данном литературном обзоре будут представлены причины ПГ и методы профилактики кровотечений из ВРВП. Цель. Определить мировые тенденции в отношении профилактики кровотечений из ВРВП и ВРВЖ при ПГ. Заключение. В ходе анализа литературы мы пришли к выводу, что преимущество надо отдавать комбинированным методам профилактики. Большинство имеющихся данных посвящено профилактике кровотечений из варикозно расширенных вен пищевода и желудка у взрослых. В настоящее время нет единой выработанной стратегии для профилактики кровотечений из ВРВП и ВРВЖ у детей.

Relevance. Bleeding from varicose veins of the esophagus ranks second among the causes of gastrointestinal bleeding. In patients with cirrhosis of the liver and portal hypertension, bleeding from varicose veins of the esophagus and stomach leads to death in 20% of cases within six weeks. Primary and secondary prevention should be carried out to avoid bleeding. This literature review will present the causes of portal hypertension and methods of preventing bleeding from varicose veins of the esophagus. The purpose of this study is to identify global trends in the prevention of bleeding from varicose veins of the esophagus in portal hypertension. Conclusion: During the analysis of the literature, we came to the conclusion that the advantage should be given to combined methods of prevention. Most of the available data is extrapolated from adult studies. Currently, there is no single developed strategy for the prevention of bleeding from varicose veins of the esophagus in children.

желудочно-кишечные кровотеченияпортальная гипертензия

esophagogastric variceal bleedingportal hypertension

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The authors declare that there are no conflicts of interest present.