pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMU10.34215/1609-1175-2021-2-89-92pmj-2205Research ArticleНАБЛЮДЕНИЯ ИЗ ПРАКТИКИPRACTICE OBSERVATIONSЭмболизация артерий в лечении кровотечений при неоперабельном раке желудка: все ли вопросы решены?Arterial embolization in the treatment of bleeding in inoperable gastric cancer: Have all the issues been resolved?ПавловА. В.PavlovA. V.

заведующий отделением рентген-хирургических методов диагностики и лечения

690078, г. Владивосток, ул. Садовая, 22

MD

22 Sadovaya St., Vladivostok, 690078, Russian Federation

МурашкинА. П.MurashkinA. P.

заведующий хирургическим отделением Владивостокской клинической больницы № 1

690078, г. Владивосток, ул. Садовая, 22

MD

22 Sadovaya St., Vladivostok, 690078, Russian Federation

https://orcid.org/0000-0001-8127-0317БоровскийС. П.BorovskyS. P.

 д-р мед. наук, профессор Института хирургии; врач

690002, г. Владивосток, пр-т Острякова, 2 

690078, г. Владивосток, ул. Садовая, 22

 MD, PhD, professor; surgeon 

2 Ostryakova Ave., Vladivostok, 690002, Russian Federation 

sergbor1964@mail.ruПантилейкинР. А.PantileykinR. A.

врач хирургического отделения

690078, г. Владивосток, ул. Садовая, 22

MD,

22 Sadovaya St., Vladivostok, 690078, Russian Federation

Владивостокская клиническая больница № 1РоссияVladivostok Clinical Hospital No. 1Russian FederationВладивостокская клиническая больница № 1; Тихоокеанский государственный медицинский университетРоссияVladivostok Clinical Hospital No. 1; Pacific State Medical UniversityRussian Federation202122062021028992Copyright © Павлов А.В., Мурашкин А.П., Боровский С.П., Пантилейкин Р.А., 20212021Павлов А.В., Мурашкин А.П., Боровский С.П., Пантилейкин Р.А.Pavlov A.V., Murashkin A.P., Borovsky S.P., Pantileykin R.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tmj-vgmu.ru/jour/article/view/2205

 Клиническое наблюдение желудочного кровотечения у пациента 64 лет c неоперабельным раком желудка. С учетом низкой эффективности консервативного и  бесперспективности эндоскопического лечения  использована эмболизация левой желудочной артерии  калиброванными микросферами Embosphere (Biosphere  Medical S.A.) через бедренный доступ. Достигнуты окклюзия ветвей левой желудочной артерии и остановка  кровотечения. Обсуждаются сложные и нерешенные вопросы применения малоинвазивных методов лечения  кровотечений при злокачественных новообразованиях  желудка.  

 Clinical observation of the gastric bleeding for 64 years old patient having inoperable gastric cancer. Taking into account the low efficiency of the conservative and futility of the endoscopic treatment the embolization of the left gastric artery with the calibrated microsphere Embosphere (Biosphere Medical S.A.) through femoral approach was used. The occlusion of branches of the left gastric artery and the hemostasis was achieved. Tricky and unsolved issues of applying low-invasive bleeding treatment methods in  case of malignant gastric tumors are discussed.  

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The authors declare that there are no conflicts of interest present.