[Repeated endoscopic hemostasis as an alternative to surgical treatment of patients with gastroduodenal ulcerative bleeding].
OBJECTIVE
To define the role of endoscopic hemostasis in treatment of gastroduodenal ulcers complicated by bleeding.


METHODS
The results of endoscopic hemostasis in 770 patients with peptic ulcers were analyzed.


RESULTS
Injection hemostasis had the highest efficacy in case of recurrent bleeding. No other method showed significant advantage in its efficiency. The efficacy of injection method was 52%, argon-plasma coagulation - 83.3%, radiowave technique - 78%, combined endoscopic method  - 96%. In case of recurrent bleeding endoscopic hemostasis is effective alternative to surgery especially in high-risk patients. Repeated endoscopic hemostasis significantly decreases mortality from 45% to 23% in case of recurrent bleeding.
Chair of Faculty Surgery, Russian Peoples' Friendship University, Moscow, Russia.
N V
NV
Lebedev
Chair of Faculty Surgery, Russian Peoples' Friendship University, Moscow, Russia.
A E
AE
Klimov
Chair of Faculty Surgery, Russian Peoples' Friendship University, Moscow, Russia.
V A
VA
Petukhov
D000328:Adult; D057908:Argon Plasma Coagulation / Q000379:methods; D057186:Comparative Effectiveness Research; D004564:Electrocoagulation / Q000379:methods; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects / Q000379:methods; D005260:Female; D006488:Hemostasis, Surgical / Q000009:adverse effects / Q000379:methods / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D009031:Moscow; D017063:Outcome Assessment, Health Care; D010438:Peptic Ulcer Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D019106:Postoperative Hemorrhage / Q000175:diagnosis / Q000601:surgery; D012008:Recurrence; D012086:Reoperation / Q000379:methods / Q000706:statistics & numerical data; D020379:Risk Adjustment; D013276:Stomach Ulcer / Q000150:complications*; D016019:Survival Analysis