EFFECTIVENESS OF ENDOSCOPIC HEMOSTASIS IN PATIENTS WITH ULCERATIVE GASTRODUODENAL BLEEDING
DOI:
https://doi.org/10.11603/1811-2471.2024.v.i1.14530Keywords:
gastroduodenal ulcer bleeding, endoscopic hemostasisAbstract
SUMMARY. The effectiveness of various types of endoscopic hemostasis in patients with chronic peptic ulcer disease complicated by bleeding was analyzed retrospectively and prospectively.
The aim - to find out the structure and features of bleeding gastro-duodenal ulcers and the effectiveness of endoscopic hemostasis.
Material and Methods. The clinical material includes endoscopic characteristics of bleeding activity and frequency of bleeding recurrence in patients with chronic active gastric and duodenal ulcer using various options of endoscopic hemostasis and evaluation of its effectiveness. Endoscopic hemostasis was performed using the video endoscopic complex Olympus cv-180 Evis Exera EVS.
Results. The analysis of the results showed that 70 % of patients had duodenal localization of ulcers, and 22.5 % had gastric ulcers, and only 7.5 % had double localization and recurrent post-vagotomy and post-resection ulcers.
The endoscopic classification of signs (stigmata) of bleeding has been modified. The expediency of gastric lavage and premedication during endoscopic gastroduodenoscopy was studied. The effectiveness of various types of endoscopic hemostasis was evaluated.
Conclusions. Endoscopic hemostasis must be performed under intravenous anesthesia so as not to provoke a recurrence of bleeding.
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