[Gastroduodenoscopy at diagnosis and treatment of ulcerous gastroduodenal bleedings].
Results of treatment of 458 patients with ulcerous gastroduodenal bleedings are analyzed. It is demonstrated that argon-plasma coagulation (APC) is the most effective at primary endoscopic hemostasis and amounts to 92.5% compared with 87.5% at radio-wave coagulation and 79.7% at injection method. Treatment and diagnostic algorithm based on patients state severity assessment (by SAPS scale) and risk of bleeding (by Forrest) was developed. Use of this algorithm led to decrease of lethality due to acute blood less from 6.1 to 2.7% (including at conservative treatment from 4.5 to 2.2%) and postoperative lethality from 14.5 to 5.6%.
Lebedev
N V
NV
Klimov
A E
AE
Boĭtashevskaia
N V
NV
Barkhudarova
T V
TV
Sidorenko
I V
IV
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004381:Duodenal Ulcer / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D004384:Duodenoscopy / Q000379:methods*; D005260:Female; D005773:Gastroscopy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D010439:Peptic Ulcer Perforation / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D013276:Stomach Ulcer / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery