A pathological condition in which the veins in the lower part of the tube in the esophagus or stomach adjacent to, the so-called varicose veins of the esophagus, symptoms, which will be discussed in this article.
Disease develops due to the increased pressure in the portal vein, reducing blood flow. This condition is called chronic hepatitis b, cirrhosis of the liver. Changes in the structure of blood vessels. The walls formed in the different protrusion of the shell, the capillary thinning.
The ship, a winding shape, the mucous membrane of the hyperemic's ulcer. This leads to severe bleeding, no prior symptoms.
Pathology code ICD 185, which is defined as varicose veins of the esophagus, 185 (9) without bleeding, 185 (0) of bleeding.
What is this
Resistant hypertension (high blood pressure) in the portal Vienna, 2-4 times more than normal leads to disease of the esophagus. To further increase the pressure (24 – 27 waters.St) leads to rupture of the vessel, development of, bleeding.
The high blood pressure in the portal vein leads to a decrease in blood flow, the deformation, the veins, the elongation and thinning of the walls. The walls of the blood vessels are formed to be protruding where the blood. High blood pressure increases the load on the capillary wall can be broken.
The diseases of the circulatory system varicose veins are very small, localized over the surface of the pipe, the esophagus. If the extension is called pathological processes in the liver, the vessels are more dilated, I'm surprised they're in the lower area of the esophagus.
Complications, such as bleeding does not depend on the size of the varicose node, or by the state to the vessel wall, and the jump of the pressure in the portal vein.
Provoked:
- overeating;
- increased physical activity;
- the increased intra-abdominal pressure.
Sometimes the bleeding is manifested during sleep. There are factors that aggravate the condition: if the cardia, and reduction in blood clotting. Here dangerous than varicose veins of the esophagus.
The disease varicose veins of the esophagus ICD-10 code the doctor needs to know.
Esophageal varices: causes
The reason that the development or pathological processes that lead to the high blood pressure in the portal vein. This:
- parenchymal liver disease caused by cirrhosis, tumors, amyloidosis;
- stenosis of the portal vein (thrombosis, compression from the outside, multiple sclerosis);
- chronic circulatory failure, circulatory system.
The vulnerable people, who can get varicose veins of the esophagus, are the following:
- >persons 50 years and older (most men);
- patients with chronic pathology of the cardiovascular system and digestive tract;
- patients with liver cirrhosis.
Most often varicose veins of the esophagus develops in liver cirrhosis and chronic hepatitis. Alcohol abuse occurs, structural changes in the parenchyma. They have formed scar tissue, which disrupt the normal blood flow, slow down, that the stagnation of blood in the formation of varicose vessels.
The stage of the disease
Isolated congenital form that occurs in newborns. But this pathology is rare accompanied by other serious violations. The development of the diseases due to hereditary factors, and pregnancy. The acquired form occurs in men more than 50 years old, or that the bad habits.
According to the degree of vascular lesions there are four types of disease:
1 phase. This is the first degree of the varices in the amount not exceeding 3 mm shall be determined, which is the only endoscopic investigation. When he was done x-ray of the contrast agent shows slow blood flow, but not bleeding. While the esophageal opening is reduced to the "irregular".
2. section. At this stage, the lumen of the vessel is not broken, varicose veins are not expanding, but the veins tortuous structure. The diagnosis using contrast, x-ray, which shows no clear contours, vessels, rounded growths. There is no bleeding.
3 phase. There was a constant expansion of certain parts of the vessels, the vein lumen is narrowed. Clearly visible, varicose veins, changed mucous membrane (thinning). This phase is characterized by high risk of bleeding.
The x-ray image shows that the formation of the lining of the esophagus in the form of polyps, as well as chiseled perforation of the mucous membrane. The condition is considered serious, immediate hospital treatment.
4. section. There is a strong thinning of the mucous membrane of the vessels, the polyps formation. The esophageal varices, at this stage, clusters in the form of a substantially block the lumen of the esophagus. The progression of the disease can be disabling. During this period the patient suffers from redness, mucous membrane, formation on erosion errors. This condition is considered critical, because it causes frequent, severe bleeding.
Varicose veins of the esophagus symptoms
The development of the disease does not manifest itself. Therefore, in patients with the treatment when the disease has "momentum". Independently identify the disease it is impossible, because the initial symptoms of the disease similar symptoms of diseases of the digestive system. So, if there is dilatation of the esophagus, the symptoms are the following:
- the appearance of shortness of breath;
- the presence of heartburn (does not depend on the food);
- pain in the region of measure the distance process;
- decreased swallowing.
If the varicose veins of the esophagus, the stomach, the main feature of vascular pattern on the skin of the anterior abdominal wall in the form of "Medusa's head". It consists of the pathologically changed veins. This symptom appears in the later period of the disease. Later, the appearance of bleeding, the patient to present:
- bloody vomiting;
- blood in the stool;
- tachycardia;
- hypotension (sharp decrease in blood pressure);
- shock.
Diagnosis, treatment
Determine the patient's varicose veins of the stomach and esophagus methods, such as:
- Ultrasound of the esophagus in the abdominal cavity;
- General analysis of the blood;
- x-ray using contrast.
Diagnosis, take into account that the bleeding may cause ulcerated lesions of the esophagus, destruction of the tumor. A longitudinal tear in the mucous membrane of the upper part of the stomach or in the distal region of the esophagus caused by frequent vomiting.
The confirmation of the diagnosis of varicose veins of the esophagus treatment, and the degree of vascular lesions of the pipe, the esophagus. If the disease is discovered when you see the bleeding, then treatment is aimed at stopping:
- a blood transfusions;
- vasoconstrictors;
- astringent medicines;
- electrocoagulation vessel concerned;
- the pressure in the affected blood vessels by the probe.
After you have done that therapeutic measures aimed at the prevention of recurrence (iteration) attack. If you experience varicose veins of the esophagus liver cirrhosis, the treatment of the underlying disease. Is directed at restoring the function of the liver tissue. Also, the patient should be given the bad habits, avoid strong physical exercise.
- Prescribe antacids (medicines that reduce the acidity of gastric juice), to prevent unnecessary irritation of the esophagus.
- Astringent preparations, which reduce inflammation.
- A vitamin therapy.
If the diagnosis of varicose veins of the esophagus drug treatments can be added to the surgical intervention, relapse prevention.
The binding of more than varicose to stop the little disks of rubber. Introduction hemostatic solution into the affected vein. Carry out the procedure at least four times a year. Completely removed from the damaged blood vessels, which are not recoverable.
Cirrhosis of the liver, the patient cannot perform the operation. In this case, the conduct of an endoscopic examination of the esophageal vessels. The procedure of the ligation of the vessel in a nylon loop or flexible ring.
The particular bypass, which connect the portal and hepatic veins. This gives you the opportunity to normalize the pressure in the blood vessels.
Diet
If the diagnosis of varicose veins of the esophagus treatment includes many measures, including compliance with certain rules of supply.
Diet varicose veins of the esophagus includes the use of the products, can enhance the elasticity of blood vessels, strengthens them and also prevents the formation of blood clots.
The proposed food - should include b vitamin, C, fibre:
- beans;
- salad;
- corn, olive oil;
- citrus;
- seafood;
- nuts;
- the vegetables, fruits.
Meat instead of seafood or beef liver. It is not advisable to eat salty, spicy, spicy dishes, after which the patient is drinking enough water. This leads to the swelling of the tissues. The recommended amount of fluid daily 2 liters. Also I can't drink whole milk, reduce the elasticity of blood vessels.
Not to be used:
- alcohol;
- black tea, coffee;
- sweets;
- canned smoked meat;
- sugar.
The preparation, consumption of food has its own nuances. Cook, like to cook, to bake. You need to eat small portions, not to transfer, this dish should not be too hot or cold.
Preventive measures
To prevent A disease, contact your doctor immediately. Treatment of diseases of the liver, if the history. You must follow proper nutrition, get rid of bad habits, and monitor your weight. Also you don't need to subject the body to excessive physical load.
This applies not only to the activities, but also training in the gym, the implementation of power exercises. Practice cannot be excluded, but need to perform the exercises are designed by physical therapists specifically for patients with varicose veins of the esophagus. A number of exercises designed to improve the blood circulation, reduces risk of blood clots, reduces cholesterol deposits.
Also the prevention of such diseases as varicose veins of the esophagus plays a big role, well-coordinated work of the digestive tract. Therefore, such patients is recommended to drink infusions of herbsthat have choleretic effect, improves digestion. To prevent reflux (regurgitation) of gastric content into the esophagus, thereby irritation, you need to sleep, raising the head of your bed 10 cm.
The implementation of these recommendations will help to avoid the development of the disease or its recurrence. But we must not forget that to go to the doctor necessary for the first symptoms to prevent serious complications, such as excessive bleeding. It is not desirable to deal with the disease venous dilatation of the esophagus.