Open AccessSTRUCTURE AND METHODS OF TREATMENT BLEEDING FROM THE UPPER DEPARTMENTS OF THE GASTROINTESTINAL TRACT
Author(s) -
D. Lopatenko,
Микола Андрійович Александров,
Варвара Петрівна Колеснік
Publication year - 2020
Publication title -
harkìvsʹka hìrurgìčna škola
Language(s) - English
Resource type - Journals
ISSN - 2308-7005
DOI - 10.37699/2308-7005.2.2020.28
Subject(s) - hemostasis , medicine , upper gastrointestinal bleeding , endoscopy , gastrointestinal bleeding , endoscopic treatment , gastrointestinal tract , electrocoagulation , surgery
Summary. The aim of our work was to optimize endoscopic care for patients with upper gastrointestinal bleeding and to identify optimal methods of endoscopic hemostasis.
Materials and Methods. We analysed the outcome of the treatment of 297 patients with endoscopic hemostasis, which included infiltration of the parasasal area with colloidal solution and electrocoagulation.
Results and Discussion. The study showed that the most common source of bleeding were duodenal ulcers — 45.8 % of observations. Endoscopic methods of stopping and preventing bleeding were effective in 75.5 % of cases.
Conclusions. The effectiveness of endoscopic hemostasis in patients with bleeding from the upper gastrointestinal tract is determined by a differentiated approach. In the structure of gastrointestinal bleeding in the multidisciplinary emergency hospital, gastroduodenal ulcers predominate — 76.8 %. In ulcerative bleeding, the efficacy of endoscopic combined hemostasis is 97.0 %.