title: [Comparison of the results of radical and palliative operations for gastric cancer complicated by an acute hemorrhage].
abstract: The results of treatment of 1125 patients, suffering gastric cancer, complicated by an acute hemorrhage, were analyzed. The treatment tactics was elaborated, which have included endoscopic hemostasis conduction in an active tumoral hemorrhage present as well as the measures, directed on prophylaxis of the hemorrhage recurrence, when the signs of the hemorrhage spontaneous arrest and stigmata are present, using miniinvasive methods of endosurgical hemostasis, according to established criteria of their efficacy, and further conduction of clinic-endoscopic monitoring. Introduction into clinical practice of the elaborated algorithm of the treatment tactics have permitted to increase the radical operations performance rate from 66.0 to 75.9%, to lower postoperative lethality index in 4.4 times, to reduce a palliative operations performance rate from 44.0 to 24.1% and to lower lethality after this kind of procedures from 20.3 to 12.8%.
authors.forename: P D
authors.initials: PD
authors.lastname: Fomin
authors.forename: P V
authors.initials: PV
authors.lastname: Ivanchov
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006471:Gastrointestinal Hemorrhage / Q000150:complications / Q000401:mortality / Q000601:surgery*; D016558:Hemostasis, Endoscopic / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000379:methods*; D013274:Stomach Neoplasms / Q000150:complications / Q000401:mortality / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult