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40 years' experience of treatment of acute ezophago-gastric bleedings in patients with portal hypertension is analyzed. In dependence of the treatment trends, three periods of of time were assigned. The 1st period was characterized by surgical treatment nonmetering clinical features. Second period combined a more differential approach with the use of rational conservative means. The 3rd period was characterized by the destroy of the specialized surgical help, but introduced a range of mini-invasive procedures, which allowed a fivefold decrease of lethality.

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