ESOPHAGOGASTRIC DEVASCULARIZATION WITH ESOPHAGEAL STAPLER TRANSESCTION IN PATIENT WITH REPLACED LEFT HEPATIC ARTERY

• Main Authors: Mahiliavets E. V., Astapenka K. P.
• Format: Article
• Language: Belarusian
• Published: Grodno State Medical University 2020-03-01
• Series: Žurnal Grodnenskogo Gosudarstvennogo Medicinskogo Universiteta
• Subjects: liver cirrhosis; portal hypertension; esophageal varices; esophagogastric devascularization; azigoportal disconnection; replaced left hepatic artery
• Online Access: http://journal-grsmu.by/index.php/ojs/article/view/2502

Background. Bleeding from esophageal varices is one of the most common causes of mortality in patients with cirrhosis. Aim. Analysis of the results of esophagogastric devascularization with stapler transection of the esophagus in replaced left hepatic artery. Material and methods. Successful esophagogastric devascularization with esophageal stapler transection in replaced left hepatic artery was performed at the Grodno Regional Clinical Hospital in February 2018 in the patient with cirrhosis, portal hypertension and recurrent bleeding from varicose veins of the esophagus. Results and conclusions. The modifed technique of the operation with preserving the blood supply to the left lobe of the liver in variant anatomy contributed to the prevention of hepatic dysfunction and other liver complications, as well as the persistent absence of recurrence of bleeding from esophageal varices in the postoperative period. This modifcation of esophagogastric devascularization is effective and safe.