PEPTIC ULCER BLEEDING. ANALYSIS OF TREATMENT RESULTS AND CAUSES OF ADVERSE OUTCOME
https://doi.org/10.24884/2072-6716-2021-22-1-58-62
Abstract
The article analyzes the results of treatment of patients with peptic ulcer bleeding in two clinics. One of the main reasons for the adverse outcomes of treatment is rebleeding. Early identification of patients with a high risk of rebleeding will allow timely preventive measures to be taken and avoid the development of severe complications, which ultimately will reduce mortality. The use of endoscopic hemostasis in patients with ulcerative bleeding in routine practice can reduce the number of operations, total and postoperative mortality.
About the Authors
M. V. Valeev
Central District Hospital of Beloretsk; Bashkir State Medical University
Russian Federation
Russian Federation
Beloretsk
S. V. Timerbulatov
Bashkir State Medical University
Russian Federation
Russian Federation
Ufa
References
1. Hearnshaw S. A., Logan R. F., Lowe D. et al. Acute upper gastrointestinal bleeding in UK: patients characteristics, diagnoses and outcomes in the 2007 UK audit // Gut. 2011. Vol. 60, No 10. P. 1327–1335.
2. Leerdam M. E. Epidemiology of acute upper gastrointestinal bleeding // Best Pract. Res. Clin. Gastroenterol. 2008. Vol. 22, No 2. P. 209–224.
3. Lau J. Y., Sung J., Hill C. et al. Systematic review of the epidemiology of complicated peptic ulcer disease: incidence, recurrence, risk factors and mortality // Digestion. 2011. Vol. 84. P. 102–113.
4. Laine L., Jensen D. M. Management of patients with ulcer bleeding // Am. J. Gastroenterol. 2012. Vol. 107. P. 345–360.
5. Ljubicic N., Puljiz Z., Budimir I. et al. The influence of etiologic factors on clinical outcome in patients with peptic ulcer bleeding // Dig. Dis. Sci. 2012. Vol. 57, No 12. P. 3195–3204.
6. Khunafin S. N., Fedorov S. V., Petrov Yu.V. et al. Gastroduodenal ulcerative bleeding. Perm Medical Journal, 2014, Vol. 31, No 5, pp. 17–21 (In Russ.).
7. Jimenez Rosales R., Martinez- Cara J.G., Vadillo- Calles F. et al. Analysis of rebleeding in cases of an upper gastrointestinal bleed in a single center series // Rev. Esp. Enferm. Dig. 2018. Vol. 111, No 3. P. 189–192.
8. Korovin A. J., Maskin S. S., Turkin D. V. et al. Gastroduodenal ulcer bleeding: an assessment of the choice of hemostasis methods and prediction of the risk of bleeding recurrence. Bulletin of surgical gastroenterology, 2017, No 1, pp. 41–45 (In Russ.).
9. Lavreshin P. M., Brusnev L. A., Gorbunkov V. Ya. et al. Experience in the treatment of gastroduodenal bleeding ulcer etiology in a city hospital. Bulletin of the National Medical and Surgical Center named after N. I. Pirogov, 2019, No 2, pp. 42–44 (In Russ.).
10. Forrest J. A., Finlayson N. D., Shearman D. J. Endoscopy in gastrointestinal bleeding // The Lancet. 1974. Vol. 2, No 7877. P. 394–397.
Review
For citations:
Valeev M.V., Timerbulatov S.V. PEPTIC ULCER BLEEDING. ANALYSIS OF TREATMENT RESULTS AND CAUSES OF ADVERSE OUTCOME. EMERGENCY MEDICAL CARE. 2021;22(1):58-62. (In Russ.) https://doi.org/10.24884/2072-6716-2021-22-1-58-62
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