Preview

EMERGENCY MEDICAL CARE

Advanced search

THE PROSPECTS FOR IMPROVING THE RESULTS OF TREATMENT OF GASTRIC ULCER, COMPLICATED BY BLEEDING

https://doi.org/10.24884/2072-6716-2018-19-2-58-63

Abstract

The article presents the results of treatment of 260 patients with gastric ulcer complicated by hemorrhage, who were on treatment in the 2nd clinic (surgery for the improvement of doctors) of the Military Medical Academy on the basis of the Institute of Ambulance im. Dzhanelidze in 2014–2015. The obtained data indicate that the reduction in mortality in the study groups can be achieved by: reducing the number of palliative interventions, the wider use of angiographic embolization for the prevention and treatment of bleeding recurrence, and expanding the indications for urgent radical surgery outside the recurrence of hemorrhage.

About the Authors

G. I. Sinenchenko
St. Petersburg Dzhanelidze Research Institute of Emergency Care
Russian Federation

Georgij I. Sinenchenko



V. G. Verbitsky
St. Petersburg Dzhanelidze Research Institute of Emergency Care
Russian Federation

Vladimir G. Verbitsky



A. Е. Demko
St. Petersburg Dzhanelidze Research Institute of Emergency Care
Russian Federation

Andrej Е. Demko



M. G. Zaitsev
St. Petersburg Dzhanelidze Research Institute of Emergency Care
Russian Federation

Maksim G. Zaitsev



A. N. Sekeev
St. Petersburg Dzhanelidze Research Institute of Emergency Care
Russian Federation
Aleksej N. Sekeev


А. O. Parfenov
St. Petersburg Dzhanelidze Research Institute of Emergency Care
Russian Federation

Anton O. Parfenov



References

1. Lazebnik L. B., Drozdov V. N. Clinical displays of a disease and advanced age. Diseases of the digestive system at elderly. Moscow: Izdatel’stvo Anakharsis, 2003, рр. 25–34 (in Russ.).

2. Karipidi G. K., Braids I. S., Kanksidis Ya. V. Clinical features of ulcer gastroduodenal bleedings at patients of advanced and senile age. Kubansk. Scient. medical. messenger, 2013, No 3 (138), рр. 81– 84 (in Russ.).

3. Khamaysi I., Gralnek I. M. Acute upper gastrointestinal bleeding (UGIB): initial evaluation and management // Clinical gastroenterology. 2013. Vol. 27, No 5. Р. 633–638.

4. Holster I.L., Kuipers E. J., Management of acute nonvariceal upper gastrointestinal bleeding: сurrent policies and future perspectives // World J. Gastroenterol. 2012. Vol. 18, No 11. Р. 1202–1207.

5. Gostishchev V. K., Evseev M. A., Ivanov G. B. Acute gastroduodenal bleedings: concept of surgical tactics. Materials of the XI congress of surgeons of the Russian Federation. Moscow, 2011. P. 659–660. (in Russ.).

6. Kretinin S. V., Tarasenko V. S. Taktika at gastroduodenal bleedings. Messenger of experimental and clinical surgery. 2014. Append. 1, рр. 46– 47 (in Russ.)

7. National clinical recommendations. Acute gastroduodenal bleedings. Voronezh, 2014. 9 p. URL: http://общество-хирургов.рф/stranica-pravlenija/unkr/urgentnajaabdominalnaja-hirurgija/jazvenye-gastroduodenalnye-krovotechenija.html (in Russ.).

8. Protocols of diagnostics and treatment of acute surgical diseases of bodies of an abdominal cavity / St. Petersburg research institute of Emergency Care of I. I. Dzhanelidze. 3rd prod., correct and addition. St. Petersburg, 2015. 68 p. (in Russ.).


Review

For citations:


Sinenchenko G.I., Verbitsky V.G., Demko A.Е., Zaitsev M.G., Sekeev A.N., Parfenov А.O. THE PROSPECTS FOR IMPROVING THE RESULTS OF TREATMENT OF GASTRIC ULCER, COMPLICATED BY BLEEDING. EMERGENCY MEDICAL CARE. 2018;19(2):58-63. (In Russ.) https://doi.org/10.24884/2072-6716-2018-19-2-58-63

Views: 592


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2072-6716 (Print)