Limited varicose veins
Category I corresponds to a small volume: several medium-sized trunks without high-risk red markers - the session is short, there are few rings, the tolerance is excellent. Often this is the final “clean-up” stage after previous sessions or primary prevention for moderate varicose veins in a patient who cannot tolerate beta blockers. Afterwards - standard diet and PPI; A control gastroscopy a month later decides whether another session is needed. Observation continues with a hepatologist.
Indications
- varicose veins of the esophagus grade 2–3 with cirrhosis - primary prevention of bleeding;
- bleeding from varicose veins - secondary prevention (staged eradication);
- acute bleeding from the veins of the esophagus - emergency hemostasis;
- intolerance/insufficiency of beta blockers.
Why ligate veins?
Bleeding from varicose veins of the esophagus is the most serious complication of cirrhosis with high mortality; ligation with latex rings is the standard for preventing and stopping it: the nodes are thrombosed and replaced by a scar, the risk of bleeding is reduced by 3–4 times. Eradication is achieved in 2–4 stage sessions with an interval of 3–4 weeks; The price category reflects the volume of varicose veins and the number of rings. The procedure is combined with taking beta blockers and treating the underlying liver disease; EGD monitoring is for life.
