Treatment of varicose veins of the esophagus
About what are varicose veins, non-medical public talks concerning the lower limbs. But that is varicose veins of the esophagus, known to few inhabitants. To understand what is this disease, what symptoms peculiar to him should have an understanding of the blood supply of the esophagus in General. And if it will dilate veins, what causes are able to provoke.
As the blood supply to the esophagus
The blood supply of the esophagus is organized a large number of different vascular. Upper esophagus is provided with blood through major vascular: the left subclavian and upper esophageal arteries. Additionally involved in the blood supply of the upper division of the arterial branches of the bronchi and the thoracic aorta.
Venous plexus of the esophagus are complicated. The outflow of venous blood goes in two directions: downward and upward. The system of connecting veins between them, is called portocaval anastomoses. It is in their region and often there is varicose veins of the esophagus.
What is the pathology
International classification of diseases, 10 revision, which is used by modern doctors, distinguishes two varieties of the disease:
- without bleeding;
- with the bleeding.
The shape distinguish congenital and acquired disease.
A congenital form
Very rare, but still documented in the medical literature. Typically, infants with congenital varicose veins of the esophagus suffer the many additional serious illnesses.
The acquired form
This form likes the population over 50 years old. And the males varicose veins of the esophagus is a 2: 1 ratio compared to women.
Born from the analogy of when the causes of disease with men's bad habits (overeating, Smoking, alcohol abuse). However, this is only an analogy.
The causes of varicose veins of the esophagus is well known to gastroenterologists.
The main reasons for development of varicose veins in the esophagus are associated with a particular pathological condition is portal hypertension. It increases in the portal vein the pressure that causes the to expand and thin the wall of the vessel.
There are several specific causes of varicose veins:
- Cardiovascular insufficiency, in which affects the entire systemic circulation;
- Compression of the portal vein (usually in tumors);
- Liver disease in which impaired blood flow body;
- The formation of blood clots.
All of these pathologies require timely and regular treatment.
Classification of endoscopic
There is endoscopic classification of varices of the esophagus (varices), in which there are 4 degrees.
- When carrying out endoscopic examination revealed a single expansion (ectasia) of the esophageal veins.
- Veins of the lower esophagus already have a clear demarcation. But the lumen and vessel wall have not changed.
- Veins bright bulges have narrowed lumen. There are red markers - vascular expansion (angiectasia).
- The shell is thinned, is determined by numerous varices, angioectasia and erosions.
The grounds on which suspect disease
To recognize their own illness is unlikely in the early stages, because symptoms of varicose esophageal veins to a certain period are missing or are cleverly disguised as other diseases.
Initially the patient might be bothered by the following symptoms:
Treatment with medication involves the use of medications for the underlying disease, and to address the accompanying symptoms can be used vitamin supplements, antacids, astringents.
In the case of minor bleeding, conservative treatment is provided by:
- Transfusion of blood products and colloids;
- Application of hemostatic and vasoconstrictor drugs;
- Electrocoagulation of the damaged vessel;
- The introduction of a special probe into the esophagus with the goal of squeezing the bleeding vascular.
Surgical treatment when bleeding is more efficient than using conservative methods. The indicators are statistical indicators of mortality - the use of surgical treatments it is lower than 3 times.
Patients should be aware that this pathology is incurable and carries a pronounced risk of death from bleeding, so with early detection of disease to follow all the recommendations on supportive treatment.
If we consider the mortality from bleeding in the esophagus, the numbers don't look encouraging. More than half of patients die, this is largely due to the severity of the underlying disease. Such indicators convince of the need for adequate treatment of the underlying pathology.
On the diagnosis
The most accurate diagnostic method esophagoduodenoscopy. It helps to define the extent of the disease, the probability of bleeding. Of instrumental methods used also ultrasound diagnosis, contrastx-rays of the esophagus. Conduct research of blood General and biochemical analyses.
How to organize a diet
Diet displayed in a separate part because of its exceptional importance. The fact that exposure to cold or irritating food greatly increase the risk of bleeding, so patients with symptoms of varicose veins of the esophagus to use, you should not.
There are several rules of nutrition that must be followed:
- There is frequent and in small portions;
- Dinner early, 4 hours before a night's sleep;
- Swallow slowly chew write. Therefore it is not necessary to read during a meal or is in the process of watching television;
- To sleep, raising the head end of the bed - this will not allow the gastric contents to enter the esophagus;
- Throw away the frying pan - never eat fried foods;
- To use puree and pureed meals are prepared by the method of boiling or steamed.
- Forget about alcohol, meats and marinades;
- Food should be moderately warm. Too hot and cold is prohibited.
As you can see, this diet involves a complete upheaval of the regime. About the food now need to think of is a pledge that surgical treatment is not required.
Now about the foods that should not be consumed.
To unsubscribe forever
- From fatty, spicy, spicy food;
- Smoked and salted;
- Fried, rough and fizzy;
- Alcohol, coffee, chocolate and cocoa;
- Vegetables and fruits, prepared without any thermal treatment.
- Dairy products, cheese;
- Soft mild cheese;
- Vegetable soups;
- Soups made of cereals;
- Porridge and steam baked puddings from vegetables and fruits;
- Meat and fish low-fat varieties, boiled or vapor form;
- Jelly and weak tea.
Even if you are extremely difficult to give up your favorite foods, is a vital measure. Bad statistics of survival after bleeding needs to convince you of this. Indeed, despite the favorable outcome of the operation, which you could not be avoided, almost 70% of cases in a couple of years later a recurrence, the bleeding is repeated. So much easier just to avoid.
You may also be interested to read about varicose veins of the lower extremities.