The use of endovascular hemostasis to prevent recurrence of ulcerative gastroduodenal bleeding in an emergency hospital
https://doi.org/10.24884/2072-6716-2023-24-4-25-31
Abstract
According to the Department of ambulance organization of the I. I. Dzhanelidze Research Institute of Joint Venture in the structure of the “acute abdomen” UGDB takes 4th place in 2021. Transcatheter arterial embolization (TAE) is an alternative to palliative surgical interventions when conservative treatment of ulcerative bleeding using endoscopic hemostasis methods is ineffective, especially in patients with a high risk of surgery and an unfavorable outcome. The aim of the work is to evaluate its role in improving the results of treatment of patients with UGDB who underwent TAE in an ambulance hospital in order to prevent recurrence of bleeding, to assess its role in improving the results of treatment of this category of patients. Materials and methods. The analysis of the results of treatment of 30 patients with UGDB who were on inpatient treatment at the I. I. Dzhanelidze Research Institute of SP from 2018 to 2021, the use of TAE is an alternative to open palliative surgery. As a result of the conducted examination, it was found that the use of endovascular hemostasis in order to prevent recurrence of bleeding in a group of somatically severe patients with UGDB is advisable.
About the Authors
A. O. Parfenov
Military Medical Academy named after S. M. Kirov; St. Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Anton O. Parfenov
St. Petersburg
V. G. Verbitsky
Military Medical Academy named after S. M. Kirov; St. Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Vladimir G. Verbitsky
St. Petersburg
A. E. Demko
Military Medical Academy named after S. M. Kirov; St. Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Andrey E. Demko
St. Petersburg
M. A. Kiselev
St. Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Maxim A. Kiselev
St. Petersburg
D. V. Kandyba
St. Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Dmitry V. Kandyba
St. Petersburg
S. A. Platonov
St. Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Sergey A. Platonov
St. Petersburg
References
1. Wuerth B.A., Rockey D.C. Changing Epidemiology of Upper Gastrointestinal Hemorrhage in the Last Decade: A Nationwide Analysis // Dig. Dis. Sci. 2018. Vol. 63. P. 1286–1293.
2. Lau J.Y., Sung J., Hill C., Henderson C., Howden C.W., Metz D.C. Systematic review of the epidemiology of complicated peptic ulcer disease: incidence, recurrence, risk factors and mortality // Digestion. 2011. Vol. 84. Р. 102–113. doi: 10.1159/000323958.
3. Manukovsky V.A., Barsukova I.M., Dubikaitis P.A. Information materials on emergency surgical care for acute surgical diseases of the abdominal organs in St. Petersburg for 2021. St. Petersburg: St. Petersburg Research Institute of Emergency Medicine named after I. I. Dzhanelidze, 2022. 20 p. (In Russ.). EDN DXKVJE.
4. Mashkin A.M., Chesnokov E.V., Efanov A.V. et al. Results of treatment and prevention of peptic ulcer complicated by gastrointestinal bleeding. Surgery in gastroenterology, 2014, Vol. 6, No. 10, pp. 22–25 (In Russ.).
5. Sazhin V. P., Savelyev V. M., Sazhin I. V. et al. Treatment of patients with a high probability of developing relapses of ulcerative gastroduodenal bleeding. Surgery, 2013, No. 7, pp. 20–23 (In Russ.).
6. Maggio D., Barkun A.N. et al. Reason Investigators. Predictors of early rebleeding after endoscopic therapy in patients with nonvariceal upper gastrointestinal bleeding secondary to high-risk lesions // J. Gastroenterol. 2013. Vol. 27. P. 454–458.
7. Tarasconi A., Baiocchi G.L., Pattonieri V. Transcatheter arterial embolization versus surgery for refractory non-variceal upper gastrointestinal bleeding: a meta-analysis // World J. Emerg. Surg. 2019. Vol. 14. P. 3.
8. Lebedev N.V., Belozerov G.E., Klimov A.E. et al. X-ray endovascular embolization in the prevention of recurrent bleeding. Surgery, 2017, No. 5, pp. 31–35 (In Russ.). doi: 10.17116/hirurgia201753135.
9. Namikawa M., Kakizaki S., Takakusaki S. et al. Gastric ulcer bleeding from a variant left gastric artery accompanied by congenital absence of the splenic artery successfully treated with coil embolization: a case report and, Lu Y., Barkun A. N., Martel M. REASON investigators. Adherence to guidelines: a national audit of the management of acute upper gastrointestinal bleeding. The REASON registry // Can. J. Gastroenterol. Hepatol. 2014. Vol. 28, No. 9. P. 495–501.
10. Yonemoto Y., Fukami Y., Hara H. The statistical comparison of endoscopic procedure and transarterial embolization for hemorrhage caused by duodenal ulcer // United Europ. Gastroenterol. J. 2018. Vol. 6. P. 496–497.
11. Anisimov A.Yu., Vertkin A.L., Devyatov A.V. еt al. Clinical recommendations for the treatment of bleeding from varicose veins of the esophagus and stomach. Voronezh, 2014. 45 р. (In Russ.).
12. Manukovsky V. A., Demko A.E., Verbitsky V.G. еt al. Acute surgical diseases of the abdominal organs: рrotocols for diagnosis and treatment / St. Petersburg Research Institute of Emergency Medicine named after I. I. Dzhanelidze. 5th ed., revised. and additional. St. Petersburg, 2023. 50 p. (In Russ.).
13. Sinenchenko G.I., Verbitsky V.G., Demko A.E. еt al. Surgical tactics for the treatment of gastric ulcer complicated by bleeding. Bulletin of the Russian Military Medical Academy, 2018, No. 4 (64), pp. 56–60 (In Russ.). EDN YOIRKH.
Review
For citations:
Parfenov A.O., Verbitsky V.G., Demko A.E., Kiselev M.A., Kandyba D.V., Platonov S.A. The use of endovascular hemostasis to prevent recurrence of ulcerative gastroduodenal bleeding in an emergency hospital. EMERGENCY MEDICAL CARE. 2023;24(4):25-31. (In Russ.) https://doi.org/10.24884/2072-6716-2023-24-4-25-31
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