The condition that appears in the extension of the vessels in the lower department of the tube in the esophagus or stomach, adjoining to it, called varicose veins of the esophagus, the symptoms that will be examined in detail in this article.
The disease develops due to the increased pressure in the portal of vienna, the reduction in blood flow. This state is called chronic hepatitis, cirrhosis of the liver. There is a change in the structure of the blood vessels. On its walls are form different protrusions, and the sheath itself capillary tapers.
The glasses have the serpentine form, the mucosa hyperemic and has the ulceration. This leads to bleeding which have no preliminary symptoms.
The pathology is the code of the cie 185, which is defined as varicose veins of the esophagus, 185 (9) without bleeding, 185 (0) with blood flow.
Sustainable hypertension (high blood pressure) in the portal of vienna, 2 to 4 times above the norm leads to the disease of the esophagus. Increased pressure (24 – 27 waters.the article) which leads to the rupture of a vessel and the development of the hemorrhage.
Hypertension in the portal vein leads to reduction of the blood flow, the deformation of the blood vessels, their elongation and thinning of the walls of the wall. On the walls of the vessels are formed protrusions, where it accumulates the blood. When the pressure increases the pressure on the wall of the capillary and can break.
When the cardiac pathology of a system of varicose veins is reduced in size and is located on the entire surface of the tube in the esophagus. If the extension is called the pathological processes that occur in the liver, the vessels are more extended, and they are astonished that in the bottom area of the esophagus.
Complications as the hemorrhage does not depend on the size of the veins of the site or of the state of the vascular wall and the jump of pressure in the portal vein.
- eating in excess;
- reinforced of the physical load;
- the increase in intra-abdominal pressure.
Sometimes the bleeding is manifested during sleep. There are aggravating factors state: the failure of the cardia, as well as the reduction of the coagulation of the blood. That is what is dangerous are the esophageal varices varicose veins of the esophagus.
In case of varicose disease of the veins of the esophagus icd-10 code must know the doctor.
Varicose veins esophagus: causes
The causes of its development are pathological processes that lead to hypertension in the portal of vienna. Is:
- parenchymal disease of the liver caused by cirrhosis, tumors, amyloidosis;
- the stenosis of the vein (thrombosis, pressure from the outside, multiple sclerosis);
- chronic cardiovascular insufficiency.
A group of risk people who may receive varicose of esophagus are:
- >people over the age of 50 years (usually men);
- patients with chronic pathology of the eap and the gastrointestinal tract;
- the patients of liver cirrhosis.
Most often varicose veins of the esophagus develops in a liver cirrhosis and chronic hepatitis. The abuse of alcohol occurs the change of the structure of the parenchyma. There are scars, that interrupt the normal flow of blood, and slow, so that there is a stagnation of blood and formation of varicose veins, surgery of the blood vessels.
The stage of the disease
Distinguish innate from the shape seen in the newborn. But this pathology is rare and is accompanied by other serious disorders. The development of the rape causes a hereditary factor and during pregnancy. Once purchased, the form of occur in men, spoke of 50 years abroad and have bad habits.
By the degree condition of the vessels, distinguishes between four types of diseases:
Phase 1. Is the initial portion of the degree, in which the varicose veins in the amount of not more than 3 mm and are defined only when endoscopic study. When you perform an x-ray with contrast is seen to slow the circulation of the blood, but the bleeding was not. When this esophagus the aperture reduces "spot".
2 phase. At this stage the lumen of the vessel is not broken and varicose veins has not increased, but vienna acquire winding structure. The diagnosis is confirmed by contrast radiography, in which you don't see the precise contours of the vessels and rounded protrusions. The bleeding was not.
3 phase. It is observed a strong expansion of some parts of vessels, the lumen of the narrowed vein. You clearly see the veins, as amended of the mucosa (thinning). This phase is characterized by the high risk of the occurrence of the hemorrhage.
In rentgenologicheskom the photo is seen of education in the mucosa of the esophagus in the form of polyps, as well as chiseled perforation of the mucosa. The state is regarded as serious and requires urgent hospitalization.
4 phase. We observe a strong thinning of the lining of the vessel, and the education in it of polyps. Varicose veins of the esophagus at this stage have the appearance of a grapes and much lining the lumen of the esophagus. The progression of the disease can be completely closed. In this period the patient is observed congestion of the mucous membrane, and the education in it erosive defects. This condition is regarded as critical, since it leads to frequent and massive hemorrhage.
Varicose veins esophagus: symptoms
The beginning of the disease the nothing does not manifest itself. So the patients come to the doctor when the disease has already gained momentum". Regardless of recognizing the disease is impossible, since the first symptoms of the disease are similar to symptoms of disorder of the digestive system. So, if there are varicose veins of the esophagus, the symptoms are the following:
- the onset of shortness of breath;
- the presence of acid reflux (not depends of food intake);
- pain in the area of the xiphoid);
- the violation of swallowing.
If you have varicose veins in the esophagus and stomach, its main feature — vascular figure in the skin of the abdominal wall in the form of "head of medusa". What are pathologically modified in vienna. This symptom appears in the later period of the incidence of the disease. Later, when bleeding is profuse the patient to present:
- blood in the stool;
- hypotension (sharp descent of HELL).
- the shock.
Diagnosis and treatment of the
Is defined in the patient's varicose veins of the stomach and the esophagus such methods as:
- The ultrasound study of the esophagus, of the organs of the abdominal cavity;
- general analysis of blood;
- the x-ray with the use of contrast.
Making the diagnosis, taking into account that the bleeding may cause colitis the defeat of the esophagus, decaying of the tumor. This longitudinal rupture of the mucous membrane of the upper part of the stomach or the area distal to the esophagus caused by frequent changes of vomiting.
When the confirmation of the diagnosis of varicose veins of the esophagus, prescribes a treatment, respectively, the degree of affection of the vessels of the tube in the esophagus. If the disease has been detected the occurrence of the hemorrhage, the treatment way to stop it:
- blood transfusions;
- vasoconstrictor drugs;
- styptic medicines;
- electrocoagulation affected vessel;
- the pressure in the affected vessels especially of the probe.
After that, they perform therapeutic interventions aimed at the prevention of the recurrence (repeat) heart attack. If there is a problem of varicose veins of the esophagus with liver cirrhosis, they perform the treatment of the underlying disease. It is directed to restore the function of liver tissue. Also the sick recommended to leave the bad habits, avoiding strong physical efforts.
- Prescribed antacids (medicines that reduce the acidity of the gastric juice), to warn of excessive irritation of the esophageal mucosa.
- Weave the medicationsthat relieve inflammation.
- The vitamin therapy.
The diagnosis of varicose veins esophagus treatment with medications can be complemented with the surgery for prevention of recurrence is possible.
Bandage over varicose veins are installed small units of rubber. The introduction of the hemostat of the solution into the affected vein. Carry out the necessary procedure at least four times a year. You deleted all of the corrupt vienna, it is not possible to recover.
Cirrhosis of the liver is sick can not do the operation. In this case, pass the endoscopic ligature of the vessels of the esophagus. The procedure consists of ligation of the vessel wheel of hooks, or rings of elastic.
Special bypass, in which they bind master and hepatic vein. This gives you the possibility to normalize the pressure in the vessels.
The diagnosis of varicose veins of the esophagus treatment includes many of the measures, including the enforcement of certain rules of feeding.
The diet in the varicose veins of esophagus involves the consumption of food, able to strengthen the elasticity of the vessels, to strengthen, and also prevent the formation of blood clots.
Recommended products of food must contain vitamin A, c and fiber:
- the lettuce leaves;
- the corn and the olive oil;
- citrus fruits;
- the fruits and vegetables.
The meat is the best substitute seafood or beef liver. It is not desirable to employ salty, spicy and the excitement of the kitchen, after which the patient drinks a large amount of water. This leads to the swelling of the tissues. The volume of liquid in a day is 2 litres. Also you can not drink whole milk, because it contributes to the reduction of the elasticity of the blood vessels.
- black tea and coffee;
- preserves and sausages;
In the preparation and consumption of the dishes have their nuances. Cook the food you need in a pair, or the method of cooking as well as baking. Eating should be in small portions, to not to transmit, with dishes from the kitchen should not be too hot or cold.
For the prevention of the disease is necessary to time to go to the doctor. To carry out the treatment of the pathologies of the liver, if you have a history. You must follow a proper diet, getting rid of bad habits, monitor your weight. Also it is not necessary to expose the body to excessive physical effort.
This refers not only to the type of activity, but exercising in the gym with the execution of strength exercises. The exercise should not be excluded, but it is necessary to carry the load, created by the doctor of physical therapy especially for the sick veins varicosasom esophagus. The set of exercises directed to improve the circulation of the blood, reducing the risk of formation of blood clots, lowering of cholesterol deposits.
Also in the prevention of this disease as varicose veins the veins of the esophagus it is important to work in team gi tract. Therefore, the patient is recommended to consume infusions of medicinal herbs, with colecintico action and improve digestion. For the prevention of reflux (wash) the stomach contents into the esophagus and irritation of the mucosa, to go to bed, raise the head of the bed in 10 see
The implementation of these recommendations will help to prevent the development of severe disease or of its recurrence. And remember to consult a doctor during the onset of the first symptoms, to prevent serious complications in the form of a copious bleeding. You do not want to deal with the disease other venous varicose veins of the esophagus.