Open AccessQUELS SONT LES FACTEURS PREDICTIFS DECHEC DU TRAITEMENT ENDOSCOPIQUE DES ULCERES HEMORRAGIQUES?
Author(s) -
Mouna Figuigui,
Hakima Abid,
Asmae Lamine,
Maria Lahlali,
Nada Lahmidani,
Mounia El Yousfi,
Sidi Adil Ibrahimi,
Mohammed El Abkari,
Dafr-Allah Benajah
Publication year - 2022
Publication title -
international journal of advanced research
Language(s) - English
Resource type - Journals
ISSN - 2320-5407
DOI - 10.21474/ijar01/14472
Subject(s) - medicine , endoscopy , hemostasis , upper gastrointestinal bleeding , endoscopic treatment , emergency surgery , surgery , clips , general surgery
Ulcerative gastrointestinal bleeding is the most frequent emergency in digestive endoscopy. Management is based on the initiation of an infusion of proton pump inhibitors as soon as the diagnosis is mentioned. Upper endoscopy should be performed as quickly as possible under the best technical conditions. Two combined techniques of endoscopic hemostasis, most often by injection of reduced adrenaline and placement of clips, allow hemostasis in most situations. In case of failure, a new endoscopy can be proposed. Surgery and interventional radiology have a place in second or even third line treatment. A retrospective study was carried out on 80 patients over an extended period from 2009 to 2019. Including all patients presented to the emergency department for upper gastrointestinal bleeding regardless of the mode of exteriorization and who were reinforced with endoscopic treatment. risk of surgery and death. The objective of our work is to evaluate the effectiveness of endoscopic management and to deduce the predictive factors of failure of endoscopic hemostasis.