A pathological condition in which there is vasodilatation of the bottom of the tube, in the esophagus or stomach adjacent, is called varicose veins esophagus symptoms, which will be discussed in this article.
The disease develops because of the increased pressure in the portal vein, reducing blood flow. This condition is called chronic hepatitis b, cirrhosis of the liver. There is a change in the structure of blood vessels. Their walls are formed with different protrusion, and the shell of the capillary thinning.
Ships is a complex shape, the mucous membrane is hyperemic and is ulcers. This leads to massive bleeding, with no prior symptoms.
Pathology is a code ICD 185, which is defined as the varicose veins of the esophagus, 185 (9) without bleeding, 185 (0) of bleeding.
What it is
Resistant hypertension (high blood pressure) portal of the Vienna 2-4 times more than normal leads to disease of the esophagus. Continue to increase the pressure (24 – 27 waters.St) leads to rupture of the vessel and the development of bleeding.
Increased blood pressure the portal vein lead to decreased blood flow, the deformation of the blood vessels, their elongation and thinning of the walls. The walls of the blood vessels to form protrusions, which blood. Elevated pressure increases the load on the capillary wall, and it can explode.
At diseases of the vascular system varicose veins are very small and the local surface across the tube of the esophagus. If the extension is called pathological processes in the liver, the vessels are dilated, and I'm amazed that they are in the lower area of the esophagus.
Complications, such as bleeding do not depend on the size of the varicose veins in a knot, or state of the vascular wall and the jump in pressure in the portal vein.
It sparked:
- overeating;
- improved physical activity;
- increase intra-abdominal pressure.
Sometimes bleeding occurs during sleep. There are factors that aggravate the condition: failure of the cardia, and reduce blood clotting. Here dangerous than varicose veins of the esophagus.
Disease varicose veins of the esophagus ICD-10 code the doctor needs to know.
Esophageal varices: causes
The reasons for its development are the pathological processes that lead to high blood pressure in the portal vein. This:
- parenchymal disease of the liver caused by cirrhosis, tumors, amyloidosis;
- stenosis portal vein thrombosis (thrombosis, compression from the outside, multiple sclerosis);
- chronic insufficiency of the cardiovascular system.
Risk people who can get varicose veins in the esophagus are:
- >for individuals who are older than 50 years (most were men);
- patients with chronic pathology of the cardiovascular system and the gastrointestinal tract;
- patients with liver cirrhosis.
Most often varicose veins of the esophagus develops in liver cirrhosis and chronic hepatitis. Alcohol abuse occurs changes in the structure of the parenchyma. There are formed a scar, which interfere with the normal blood circulation, slow it down, leading to stagnation of blood and formation of varicose veins vessels.
The stage of the disease
Isolated congenital form that occurs in newborns. But this disease is rare, and is associated with other serious violations. The development of the disorders causes hereditary factors and pregnancy. The acquired form occurs in men over 50 years old and having bad habits.
Depending on the extent of vascular lesions there are four types of the disease:
1-phase. This is the first extent of the varices amount not to exceed 3 mm and are determined only by endoscopic examination. When performing x-ray contrast agent shows slow blood flow, but not bleeding. When the esophageal opening is reduced to "irregular".
Step 2. At this stage the cavity of the vessel is not broken and varicose veins are enlarged, but the veins become a complex structure. The diagnosis is confirmed using contrast radiography, which indicates there is no clear outline of the vessels and the rounded protrusions. No bleeding.
3-phase. There has been a steady expansion of some parts of the vessels, the lumen of the vein is narrowed. Clearly visible venous dilatation, change of the mucous membranes (thinning). This stage is characterized by a high risk of bleeding.
X-ray image shows the formation of the mucous membrane of the esophagus in the form of polyps, as well as chiseled perforation of the mucous membrane. The condition is considered serious and requires immediate hospital treatment.
Step 4. There is a strong thinning of the mucous membrane of the vessels, the formation of polyps. Esophageal varices this stage is to form clusters and substantially prevents the lumen of the esophagus. With the progression of the disease can shut it down. During this period the patient suffers from redness of the mucous membrane, the formation of the erosive defects. This condition is considered critical, because it causes frequent and massive bleeding.
Varicose veins of the esophagus symptoms
The onset of the disease does not occur. Therefore, patients seek treatment when the disease is already "gained momentum". Independently identify the disease is impossible, because the first symptoms of the disease are similar to symptoms of the digestive system. So, if there is dilatation, the esophagus, the symptoms are the following:
- the emergence of shortness of breath;
- the presence of heartburn (does not depend on the meal);
- tenderness of the region of the xiphoid process;
- impaired swallowing.
If you have varicose veins, the esophagus and stomach, the main feature of the vascular pattern of the skin of the anterior abdominal wall in the form of "Medusa's head". It consists of pathologically changed veins. This symptom appears later period of the disease. Later, the appearance of bleeding in a patient is present:
- bloody vomiting;
- blood in the stool;
- tachycardia;
- hypotension (sharp decrease in blood pressure);
- shock.
Diagnosis and treatment
Is determined by the patient's varicose veins of the stomach and the esophagus by the method, such as:
- Ultrasound of the esophagus, stomach cavity;
- The general analysis of blood;
- x-ray using contrast.
Making the diagnosis, whereas the bleeding can cause ulcerative lesions of the esophagus, decaying of the tumor. Longitudinal rupture of the mucous membrane of the upper part of the stomach or the distal region of the esophagus caused by frequent vomiting.
After confirmation of the diagnosis of varicose veins of the esophagus treatment, respectively, the extent of vascular damage to the tube in the esophagus. If the disease is detected, when you see the bleeding, so the goal of treatment is to stop:
- blood transfusion;
- vasoconstrictors;
- styptic medicines;
- electrocoagulation of the affected vessel;
- pressure affects the blood vessels of the sensor.
After this is conducted therapeutic measures aimed at preventing recurrence (iteration) attack. If you have varicose veins, esophagus, liver cirrhosis, is treatment of the underlying disease. It is aimed at restoring the function of liver tissue. Also, the patient should give up bad habits, avoid vigorous exercise.
- Prescribe antacids (medicines that reduce the acidity of gastric juice), to prevent unnecessary irritation of the esophagus.
- Astringent preparations, which reduce inflammation.
- Vitamin treatment.
When the diagnosis of varicose veins of the esophagus drug treatments can be supplemented by surgical intervention for relapse prevention can be.
The bandage over the varicose veins set of small plates of rubber. Introduction hemostatic solution the affected vein. Perform the procedure at least four times a year. Completely remove all the damaged veins that are not recoverable.
Cirrhosis of the liver the patient can not perform the operation. In this case, to do endoscopic examination of the esophagus vessels. The procedure is the ligation of the vessel with a nylon loop or elastic ring.
In particular, the bypass, which connects the portal and hepatic veins. This gives the opportunity to normalize the pressure in the blood vessels.
Diet
When 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 associated with the use of products can improve the elasticity of blood vessels, strengthen them, and also prevents the formation of blood clots.
The recommended food should contain vitamin b, C and fiber:
- bean;
- salad;
- corn and olive oil;
- citrus fruit;
- seafood;
- nuts;
- vegetables and fruits.
The meat is replaced by fish or beef liver. It is not recommended to eat salty, spicy and tangy dishes, after which the patient drinks plenty of water. This leads to swelling of the tissues. The recommended amount of fluid per day is 2 liters. Also you can drink whole milk, reduce the elasticity of blood vessels.
You can use:
- alcohol;
- black tea and coffee;
- sweets;
- canned and smoked meats;
- sugar.
The preparation and consumption of food has its own nuances. Food you need way of cooking, and bake. You need to eat small portions, so as not to transfer, this dish should not be too hot or cold.
Preventive measures
To prevent the disease, you should immediately contact your doctor. For the treatment of diseases of the liver, if they have a history. You must follow proper nutrition, get rid of bad habits and follow the weight. Also no need to expose the body to excessive physical loads.
This applies not only to activities, but also training in the gym, where the implementation of power exercises. Exercise should not be excluded, but need to perform exercises designed by a physical therapist especially in patients with varicose veins of the esophagus. A variety of exercises designed to improve blood circulation, reduce blood clotting, lower cholesterol deposits.
Also in the prevention of such disease, such as varicose veins, the esophagus plays a big role, well-coordinated work of the digestive system. Therefore, in these patients it is recommended to drink infusions of herbsthat have choleretic effect, improves digestion and. To prevent reflux (regurgitation) of the stomach contents into the esophagus, leading to irritation, you need to sleep, raise the head of your bed 10 cm.
The implementation of these recommendations will help to avoid the development of the disease or its recurrence. And we must remember that to go to the doctor necessary for the first symptoms to prevent serious complications such as profuse bleeding. It is desirable to deal with the disease venous dilatation of the esophagus.