Abstract The basis of the scientific work is the experience of endoscopic ligation of varicose veins of the esophagus (HRVP) in 65 patients with cirrhosis of the liver with portal hypertension syndrome. The degree of HRVP was established in accordance with the classification of K.J. Paquet (1982). Varicose veins of the esophagus III and IV degree were recorded in 58 (89.2%) patients. For a comprehensive assessment of the degree of liver failure, the Child-Pugh scale (1973) was used. 11 (16.9%) patients were assigned to class A, 23 to 35.4% (35.4%), and 31 patients (47.7%) to class C. The effectiveness of endoscopic ligation in the prevention of bleeding was 92.2%. Relapse of gastrointestinal bleeding in the near term occurred in 3 patients. Hospital mortality was 4.6%. In the distant period after endoscopic eradication, recurrence of varicose veins of the esophagus was diagnosed in 27.8% of patients. Endoscopic ligation of varicose veins of the esophagus is an effective method of stopping and preventing bleeding in patients with cirrhosis.
Keywords liver cirrhosis, portal hypertension syndrome, varicose veins of the esophagus, prevention, endoscopic ligation.