title: [An improved method of risk prediction and prevention of esophagogastroduodenal bleeding in geriatric urology].
abstract: With the aim of prediction and prevention of early postoperative esophagogastroduodenal bleeding (EPEGDB), 1296 elderly patients with BPH were examined during the preoperative period before isolated or simultaneous operations. Patients in group 1 (n=357) with a history of gastric or duodenal ulcer underwent esophagogastroduodenoscopy (EGDS). In group 2 (n=522) EGDS was performed and gastric acidity was determined using AGM-03 acid-gastrometer. Patients of group 3 (n=417) underwent EGDS and gastric acidity was determined by hromogastroscopy. The differentiated approach to treating patients of group 3 on the basis of preoperative comprehensive examination resulted in preventing severe complications such as EPEGDB. Prevention of EPEGDB in this category of geriatric patients should be as mandatory as preventing thromboembolic, respiratory, cardiovascular and septic complications.
authors.affiliation: Samara Regional Clinical Hospital for War Veterans.|First Research Institute for Rehabilitation of Veterans ME REAVIZ, Samara.
authors.forename: I G
authors.initials: IG
authors.lastname: Leshhenko
authors.affiliation: Samara Regional Clinical Hospital for War Veterans.
authors.forename: N A
authors.initials: NA
authors.lastname: Dodonova
authors.affiliation: Samara Regional Clinical Hospital for War Veterans.|First Research Institute for Rehabilitation of Veterans ME REAVIZ, Samara.
authors.forename: B V
authors.initials: BV
authors.lastname: Sidash
authors.affiliation: First Research Institute for Rehabilitation of Veterans ME REAVIZ, Samara.
authors.forename: I V
authors.initials: IV
authors.lastname: Shatohina
authors.affiliation: Samara Regional Clinical Hospital for War Veterans.|First Research Institute for Rehabilitation of Veterans ME REAVIZ, Samara.
authors.forename: A S
authors.initials: AS
authors.lastname: Nizhegorodcev
authors.affiliation: Samara Regional Clinical Hospital for War Veterans.|First Research Institute for Rehabilitation of Veterans ME REAVIZ, Samara.
authors.forename: I Ju
authors.initials: IJ
authors.lastname: Lazarev
authors.affiliation: Samara Regional Clinical Hospital for War Veterans.|First Research Institute for Rehabilitation of Veterans ME REAVIZ, Samara.
authors.forename: N A
authors.initials: NA
authors.lastname: Krechko
mesh_terms: D000368:Aged; D004935:Esophageal Diseases / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control; D012189:Retrospective Studies; D013520:Urologic Surgical Procedures / Q000009:adverse effects*
keywords: benign prostatic hyperplasia; early postoperative esophagogastroduodenal bleeding; elderly patients