Open AccessDiagnosis and treatment of upper gastrointestinal bleeding in patients with acute cerebrovascular accident
Author(s) -
М. П. Королев,
Королев Михаил Павлович,
Yuriy A. Spesivtsev,
Спесивцев Юрий Александрович,
Л. Е. Федотов,
Федотов Леонид Евгеньевич,
А. В. Климов,
Климов Алексей Владимирович,
И. С. Терехов,
Терехов Игорь Сергеевич,
A. N. Kondratyev,
Кондратьев Анатолий Николаевич,
Bahodir B. Daliev,
Далиев Баходир Бахтиерович,
Shokhrukh Kh. Doniyarov,
Донияров Шохрух Халимжонович
Publication year - 2020
Publication title -
pediatr
Language(s) - English
Resource type - Journals
eISSN - 2587-6252
pISSN - 2079-7850
DOI - 10.17816/ped10543-50
Subject(s) - medicine , etiology , endoscopic treatment , gastrointestinal bleeding , antithrombotic , endoscopy , stroke (engine) , intensive care medicine , surgery , mechanical engineering , engineering
Bleeding from the uppergastrointestinal tract is one of the most dangerous complications in patients with acute CVA (ischemic and/or hemorrhagic type). The combination of these conditions requires special attention in the diagnosis and choice of treatment methods. Central Nervous System pathology makes diagnosis, choosing methods oftreatment and the use of drug more complicated to surgeons in the postoperative period. With onset of hemorrhage, antithrombotic treatment should be canceled, that can negatively affect the results of treatment of patients with ischemic type of cerebral vascular accident. The use of anti-ulcer drugs, namely proton pump inhibitors, may increase the risk of hospital-acquired pneumonia,Clostridium difficileinfections, and cardiovascular diseases. These factors force us to consider issues related to diagnosis and treatment plans in this group of patients. The most promising direction in the treatment of patients with ischemic or hemorrhagic stroke in combination with gastroduodenal bleeding is the identification of risk factors for upper gastrointestinal bleeding, early endoscopic diagnosis and treatment, performing preventive treatment. The article presents a brief review of domestic and foreign literature, some issues of etiology and pathogenesis of gastroduodenal bleeding in patients with cancer, the results of our own research, capabilities of modern endoscopy in the diagnosis and treatment of gastrointestinal bleeding in this group of patients. The algorithm of management of patients with a combination of bleeding from the upper gastrointestinal tract and CNS pathologies.