Pathological condition in which there is dilation of blood vessels in the lower department of the tube in the esophagus or in the field, mao -a, adjacent thereto, called esophageal varices, in which the symptoms are more details covered in this article.
Developed the disease because of the increased pressure the portal in vienna, reducing blood outflow. Such a condition is called chronic period of hepatitis b, cirrhosis of the liver. There is a change of the structure of the blood vessels. Their walls are formed with different projections in and of itself to the shell of the capillary thins.
Blood vessels are winding form, the mucous tissue hyperemic and has sores. This leads to massive bleeding, with no advance symptoms.
Pathology is a code ICD 185, which is defined as the are varicose veins of the esophagus, 185 (9) without bleeding, 185 (0) of bleeding.
What is it
Persistent hypertension (high blood pressure) portal in vienna on 2-4 times more norms, causing diseases of the esophagus. Further pressure rise (24 – 27 waters.hg) causes blood vessels to rupture and the development of bleeding.
Hypertension is the gateway to vienna result in a reduction of the blood outflow, the deformation of the blood vessels in them anymore and thinning the walls. Vascular walls to form the protruding parts, which accumulates in the blood. If high blood pressure increases the load on the wall of the capillary, and it may get broken.
If pathologies cardiovascular system varicose veins is small in dimensions and localized across the surface of the tube in the esophagus. If the extension is called the pathological processes occurring in the liver, then the blood vessels are expanded and the affects they in the lower region of the esophagus.
Complications in the form of bleeding does not depend on the size of the veenilaiendidtion node or a state of vascular wall and jump to the pressure gate in vienna.
His provoking:
- binge eating;
- heavy physical load;
- increased abdominal pressure.
Sometimes there is bleeding manifested during sleep. There are factors, aggravating condition: the lack cardia, reducing blood clotting. Here is where the dangerous veenilaiendidbut enlarged veins in the esophagus.
Onset is varicose veins of the esophagus icd 10 code must know the doctor.
Varicose veins of the esophagus: causes
The reasons for its development is a pathological process of way of arterial hypertension of the portal in vienna. It is:
- parenchymal liver diseases, which is caused by cirrhosis, tumors, amyloidosis;
- stenosis the gateway to the veins (thrombosis, compression off, multiple sclerosis);
- chronic insufficiency of the cardiovascular system.
Group risk people, who may encounter varicose veins expansion of the esophagus, are as follows:
- >persons older than 50 years (mostly men);
- patients with chronic pathology of the CAS and the DIGESTIVE tract;
- sick cirrhosis of the liver.
The most frequent are varicose veins of the esophagus develops when the cirrhosis of the liver and chronic hepatitis. If abusing alcohol occurred changes in the structure of parenchymal. There there are scars that interfere with normal blood flow, inhibit it, resulting in stagnation of blood and education veenilaiendidtion to expand the blood vessels.
The stage of the disease
Emit innate form, which is observed in newborns. But this kind of pathology occurs rarely and with other serious disorders. The development of disturbances causing hereditary factor and pregnancy progress. The acquired form occurs in males, taken in the 50-year-old at the border and who have bad habits.
The degree of vascular lesions distinguishes between four types of diseases:
1 phase. This is the first step, which varikoossed nodes, the amount does not exceed 3 mm and is set only if the endoscopic study. If through x-ray with contrast may be seen in the slowed down blood flow, but bleeding is not. In doing so, the esophagus of the hole decreases the "jumps".
Stage 2. At this stage the lumen of the blood vessels, is not broken and varicose veins is not increased, but the vein will acquire the winding structure. The diagnosis is confirmed, when the aid of contrast radiography, which is visible does not clear the contours of the blood vessels and rounded protrusions. Bleeding is not.
3 phase. It has been observed a permanent extension of some parts of the vessels, the clearance of the vein decreased. Clearly visible varikoossed nodes, as amended mucous tissue (thinning). This phase, which is characterized by high risk of the emergence of bleeding.
Is radiology in the picture is to see the education of the mucosa of the esophagus in the form of polyps, as well as the chiseled perforation of mucous membranes. Condition is considered as serious and needs urgent hospital treatment.
4 phase. Is the observed strong thinning of the lining of the blood vessels, education of its polyps. Varikoossed nodes in the esophagus at this stage is the kind of grapes and significantly type in the lumen of the esophagus. If progressive the disease may be shut down at all. During this period, is ill observed hyperemia of mucous membranes -, education-his erosi the errors. Such a condition is expected, as critical, as it causes frequent and massive bleeding.
Varicose veins of the esophagus: symptoms
The onset of activity which is not itself shown. So patients turn to a doctor when the disease is already "stepped up". Yourself to detect the disease is not possible, since the original publication of the disease similar to the symptoms of disorders of the gastrointestinal tract. So, if you have varicose veins esophagus symptoms are as follows:
- the appearance of shortness of breath;
- the presence of heartburn (does not depend on fasting);
- soreness in the area of xiphoid process;
- violation of ingesting.
If you have varicose veins of the esophagus and the stomach, its main character — a cardiovascular figure the skin of the abdomen eesseina in the form of "head of jellyfish". It is formed by the pathologically modified vein. This symptom occurs already at a later term leakage diseases. Later, when you bleeding sick there:
- bloody vomiting;
- blood in the stool;
- tachycardia;
- hypotension (sudden drop in HELL);
- shock.
Diagnosis and treatment
Is determined by a patient has varicose veins of the stomach and the esophagus by methods such as:
- ULTRASOUND study of the esophagus, abdominal organs;
- general blood test;
- radiography application of the contrast.
Clicking on the diagnosis take into account that the bleeding may be the cause of ulcerative esophageal lesions, the socialist, the oldest of the tumor. It along between the lining of the upper stomach or the distal region of the esophagus caused by frequent vomiting.
Diagnosis confirmed varicose veins of the esophagus to the designated treatment, according to the degree of vascular lesions of the tube into the esophagus. If the disease is detected in the occurrence of bleeding, then the treatment is directed to stop:
- blood transfusion;
- vasoconstrictor medications;
- styptic medicines;
- electrocoagulation damaged blood vessels;
- pressure the damaged blood vessels a special probe.
After undergoing a therapeutic action, aimed at warning of relapse (repeat) of a heart attack. If there is esophageal varices if cirrhosis of the liver, the treatment for the disease. It is aimed at restoring the function of liver tissue. Also ill recommend to quit harmful habits to avoid the strong workout.
- For antacids (medicines that reduce the acidity maomahl), in order to avoid excessive irritation to the lining of the esophagus.
- Embed medicinesthat relieve inflammation.
- Vitamin treatment.
If the diagnosis of varicose veins of the esophagus treatment, medicines can be added to the surgical intervention, to avoid the repetition can be done.
Brace – over the varicose extension is installed on small disks are made of rubber. Introduction styptic solution to the dirty vein. To carry out the procedure, which requires at least four times a year. Completely removed all of the damaged vein, is not controlled to restore.
If cirrhosis of the liver, the patients can't do the classical surgery. In this case the endoscopic alloying of blood vessels in the esophagus. The procedure is the dressing of the blood vessels of the nylon hinged or elastic rings.
Special bypass surgery, which is connected to the portal and hepatic vein. This allows to normalize the pressure in blood vessels.
Food
If the diagnosis is varicose veins of the esophagus the treatment includes many measures, including the enforcement of certain norms of the food.
Diet if veenilaiendidbutм esophageal varices means eating foods that has the ability to increase blood vessel elasticity, strengthening them and preventing blood clots formation.
Recommended foods must be b-vitamin as well as dietary fiber:
- pulses;
- salad;
- maize-and olive oil;
- the citrus fruit;
- seafood;
- nuts;
- vegetables and fruits.
Meat is the best substitute seafood or beef liver. It is not desirable to eat, salted, spiced and sharp dishes, after which the patient drinks a lot of water. This leads to tissue swelling. Recommended amount of fluid per day is 2 liters. Also do not drink whole milk, because it helps to reduce the blood vessels elasticity.
Cannot be used:
- alcohol;
- black tea and coffee;
- confectionery;
- canned and smoked;
- sugar.
Cooking and dishes have their own nuances. To prepare food need a couple of or way of cooking, and also bake. Eat need small quantities, that does not get, in doing so, the dishes will not be too hot or cold.
Preventive measures
In order to avoid the disease should seek medical advice immediately. The treatment of liver pathologies, as they have in the past. Must follow proper nutrition, get rid of harmful habits, keep track of the weight. Also no need to expose the body to excessive physical load.
This applies not only to the kind of activities, but also classes in the gymnasium with the execution of the use of force. Physical exercises do not need to be excluded but do need charging, which is developed by the doctor's use of the therapist especially sick of the varicose veins by the esophagus. Complex of such exercises, the aim is to improve the blood circulation, reducing the risk of blood clots, reducing cholesterol deposits.
Also to prevent such disease as varicose veins esophageal varices plays a major role in coordinating the work of the gastrointestinal TRACT. Therefore, it is so sick, it is recommended to use the infusion of herbs, which have choleretic activity and improving digestion. Warning reflux (pain), gastric contents söögitoru by mucosal irritation, need to sleep, raised the headboard 10 see
These recommendations will help avoid the development of serious morbidity or relapse. And remember that the doctor needed to, if the first symptoms to prevent serious complications in the form of more bleeding. Unwanted in the face of disease with venous esophageal varices.