79 -3 (31/2) 2020 — Kadirov R. N. — LIFE QUALITY OF PATIENTS WITH HEMORRHAGIC COMPLICATIONS OF PORTAL HYPERTENSION IN THE REMOTE PERIOD AFTER ENDOSCOPIC AND SURGICAL TREATMENT

LIFE QUALITY OF PATIENTS WITH HEMORRHAGIC COMPLICATIONS OF PORTAL HYPERTENSION IN THE REMOTE PERIOD AFTER ENDOSCOPIC AND SURGICAL TREATMENT

Kadirov R. N.-Samarkand State Medical Institute, Samarkand, Uzbekistan.

Resume

The purpose of this study: a comparative analysis of the quality of life of patients of different sex and age in the long term after endoscopic and surgical treatment of bleeding from varicose veins of the esophagus and stomach.

The research method was to determine the quality of life by calculating the calculated indicators of the SF-36 questionnaire in 338 patients aged 22 to 50 years who were urgently admitted for inpatient treatment for ongoing bleeding from varicose veins of the esophagus and stomach arising from portal hypertension cirrhotic origin. All study participants were divided into 2 groups depending on the methods used to stop bleeding: endoscopic ligation and / or sclerotherapy (group No. 1, n = 162) and surgical azigo-portal isolation according to M.D. Paciora (group No. 2, n = 176). SF-36 values were determined before treatment, 3 months, 1, 2 and 3 years after treatment.

Results. After 3 months, 1, 2 and 3 years after using endoscopic hemostasis methods, in all patients, without exception, the SF-36 indices were 11-74% higher than those who underwent surgery according to M.D. Paciora. In group No. 1, the best results were obtained in 31-40- and 41-45-year-old patients, lower – in patients aged 22-25, 26-30 and 46-50 years old, in group No. 2 – as the number increased past years, a decrease in scores on all scales SF-36 36.

Conclusion. The use of endoscopic ligation and / or sclerotherapy in order to stop bleeding from varicose veins of the esophagus and stomach in patients of different sex and age provides for at least three years after the intervention a higher quality of life compared to that after the operation of azigo-portal dissociation according to the method of M.D. Paciora

Keywords: quality of life, questionnaire SF-36, bleeding from varicose veins of the esophagus and stomach portal hypertension, endoscopic ligation and / or sclerotherapy, operation M.D. Paciora

First page

334

Last page

341

For citation: Kadirov Rustam Nadirovich, Life quality of patients with hemorrhagic complications of portal hypertension in the remote period after endoscopic and surgical treatment//New Day in Medicine 3(31)2020 334-341 https://cutt.ly/mxOKe6Q

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