SELECTION OF THE METHOD OF ENDOSCOPIC HEMOSTASIS IN ACUTE GASTROINTESTINAL BLEEDING
DOI:
https://doi.org/10.11603/2414-4533.2016.2.6426Abstract
Acute gastrointestinal bleeding is attributed to one of the most serious emergency diseases of the abdominal cavity, which by
the frequency appeal is a leader among acute diseases of the abdominal cavity. The results remain unsatisfactory treatment
and accompanied by high total and postoperative mortality. Depending on the characteristics of the established source of
bleeding patients performed endoscopic and conservative therapy (infusion-transfusion therapy, antisecretory, hemostatic,
Helicobacter, symptomatic etc.) according to guidelines, ineffi ciency – surgery. More than 50 methods of endoscopic bleeding
stop are proposed every year. There are new or modifi ed existing ways of infl uencing the source of bleeding. Endoscopic methods
to stop bleeding are divided into 4 groups: physical, medicinal, mechanical and combination methods listed above. Before the
endoscopic hemostasis it is necessary to determine the most effective method that will lead to sustainable hemostasis and
minimizes the risk bleeding. The method of EG should be based on identifying the source of bleeding, its location and size, active
bleeding, and taking into account the indications and contraindications to the chosen technique and possible complications.
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