Open AccessModern Technologies of Endoscopic Hemostasis in the Treatment of Ulcer Gastroduodenal Bleeding: A Literature Review
Author(s) -
Evgeniy Cherednikov,
Sergey Barannikov,
Igor Sergeevich Yuzefovich,
А В Черных,
Т. А. Бережнова,
Galina Polubkova,
Igor Nikolaevich Banin,
Yuri Maleev,
Evgeniy Ovsyannikov,
Irina Shkurina
Publication year - 2022
Publication title -
international journal of biomedicine
Language(s) - English
Resource type - Journals
eISSN - 2158-0529
pISSN - 2158-0510
DOI - 10.21103/article12(1)_ra1
Subject(s) - hemostasis , medicine , upper gastrointestinal bleeding , etiology , endoscopy , surgery , gastroduodenal ulcer , peptic ulcer
The treatment of upper gastrointestinal bleeding (UGIB) remains one of the complex problems of clinical practice. In the structure of UGIB, 30%-60% of cases are occupied by bleeding of ulcerative etiology. Success in treating patients with ulcerative gastroduodenal bleeding is possible only with the use of an integrated approach that includes endoscopic, medicinal, endovascular, and surgical hemostasis technologies. In contrast, endoscopic hemostasis (EH) is crucial in the treatment of such patients. The use of modern advances in endoscopy can significantly improve the treatment results of patients with UGIB, reducing the number of operations and mortality in this severely affected group of patients. Modern therapeutic endoscopy has a wide arsenal of tools that can reliably stop bleeding. They differ from each other in the nature of impact, effectiveness, availability, safety, and cost. This article presents an overview of the technological and clinical features of hemostasis, modern views on the choice and application of methods of EH for ulcerative gastroduodenal bleeding.