Optimizing surgery on ulcerous gastroduodenal haemorrhage
Abstract
The paper analyses the results of treatment of 182 patients aged 17 to 96 years old with acute ulcerous gastroduodenal haemorrhage. The intensive non-surgical treatment proved to be efficient in 176 cases (96,7 %). 6 patients were operated urgently (4 cases of resective surgery, 2 cases of ulcer suturing). The dynamic endoscopy and combined methods of endoscopic haemostasis allowed to be limited to the minimum of surgeries at the height of the haemorrhage and decrease the total lethality rate in case of the gastrointestinal haemorrhages. The lethality rate reached 7,7% -14 cases (all deaths were recorded in the hospital conditions without regard to the prevailing pathology).
About the Authors
A. A. Polezhaev
Vladivostok State Medical University
Russian Federation
Russian Federation
V. I. Makarov
Vladivostok State Medical University
Russian Federation
Russian Federation
A. S. Dunts
Vladivostok State Medical University
Russian Federation
Russian Federation
O. V. Pererva
Far Eastern District Medical Centre of the Federal Medical Biological Agency
Russian Federation
Russian Federation
V. A. Dubinkin
Vladivostok State Medical University
Russian Federation
Russian Federation
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Review
For citations:
Polezhaev A.A., Makarov V.I., Dunts A.S., Pererva O.V., Dubinkin V.A. Optimizing surgery on ulcerous gastroduodenal haemorrhage. Pacific Medical Journal. 2012;(3):47-49. (In Russ.)
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