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Repin V.N.

Kafedra khirurgicheskikh bolezneĭ pediatricheskogo i stomatologicheskogo fakul'tetov Permskoĭ gosudarstvennoĭ meditsinskoĭ akademii im. akad. E.A. Vagnera Roszdrava, MSCh #9 im. M.A. Tver'e, Perm'

Kostylev L.M.

Kafedra khirurgicheskikh bolezneĭ pediatricheskogo i stomatologicheskogo fakul'tetov Permskoĭ gosudarstvennoĭ meditsinskoĭ akademii im. akad. E.A. Vagnera Roszdrava, MSCh #9 im. M.A. Tver'e, Perm'

Vozgoment A.O.

Kafedra khirurgicheskikh bolezneĭ pediatricheskogo i stomatologicheskogo fakul'tetov Permskoĭ gosudarstvennoĭ meditsinskoĭ akademii im. akad. E.A. Vagnera Roszdrava, MSCh #9 im. M.A. Tver'e, Perm'

Tkachenko I.M.

Kafedra khirurgicheskikh bolezneĭ pediatricheskogo i stomatologicheskogo fakul'tetov Permskoĭ gosudarstvennoĭ meditsinskoĭ akademii im. akad. E.A. Vagnera Roszdrava, MSCh #9 im. M.A. Tver'e, Perm'

Kravtsova T.Iu.

Kafedra khirurgicheskikh bolezneĭ pediatricheskogo i stomatologicheskogo fakul'tetov Permskoĭ gosudarstvennoĭ meditsinskoĭ akademii im. akad. E.A. Vagnera Roszdrava, MSCh #9 im. M.A. Tver'e, Perm'

Surgical tactics and causes of death in ulcer gastroduodenal bleedings

Authors:

Repin V.N., Kostylev L.M., Vozgoment A.O., Tkachenko I.M., Kravtsova T.Iu.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2010;(3): 27‑30

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To cite this article:

Repin VN, Kostylev LM, Vozgoment AO, Tkachenko IM, Kravtsova TIu. Surgical tactics and causes of death in ulcer gastroduodenal bleedings. Pirogov Russian Journal of Surgery. 2010;(3):27‑30. (In Russ.)

Подписка 2025 (Pirogov Russian Journal of Surgery)
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4212 patients with ulcer gastrointestinal bleedings were treated during 1990-2007 years. 364 patients had gastric ulcers, other patients had duodenal ulcers. 1819 patients (43.2%) were operated. 418 patients (23%) were operated due to ineffective endoscopic hemostasis and recurrent bleedings. 409 patients (22.5%) underwent urgent operations because of risk for recurrent bleeding. Elective operations were carried out to 1358 patients (74.7%). Postoperative lethality amounted 5.8% including 19.1% lethality after emergency operations, 4.2% lethality - after urgent operations and 0.8% lethality - after delayed operations. The general hospital lethality amounted 3.3%. Lethality can be decreased by extension of indications for urgent operations, preventing recurrent bleedings.

Keywords:

stomach
duodenum
ulcer disease
gastroduodenal bleeding
surgical tactics
causes of lethal outcome

Authors:

Repin V.N.

Kafedra khirurgicheskikh bolezneĭ pediatricheskogo i stomatologicheskogo fakul'tetov Permskoĭ gosudarstvennoĭ meditsinskoĭ akademii im. akad. E.A. Vagnera Roszdrava, MSCh #9 im. M.A. Tver'e, Perm'

Kostylev L.M.

Kafedra khirurgicheskikh bolezneĭ pediatricheskogo i stomatologicheskogo fakul'tetov Permskoĭ gosudarstvennoĭ meditsinskoĭ akademii im. akad. E.A. Vagnera Roszdrava, MSCh #9 im. M.A. Tver'e, Perm'

Vozgoment A.O.

Kafedra khirurgicheskikh bolezneĭ pediatricheskogo i stomatologicheskogo fakul'tetov Permskoĭ gosudarstvennoĭ meditsinskoĭ akademii im. akad. E.A. Vagnera Roszdrava, MSCh #9 im. M.A. Tver'e, Perm'

Tkachenko I.M.

Kafedra khirurgicheskikh bolezneĭ pediatricheskogo i stomatologicheskogo fakul'tetov Permskoĭ gosudarstvennoĭ meditsinskoĭ akademii im. akad. E.A. Vagnera Roszdrava, MSCh #9 im. M.A. Tver'e, Perm'

Kravtsova T.Iu.

Kafedra khirurgicheskikh bolezneĭ pediatricheskogo i stomatologicheskogo fakul'tetov Permskoĭ gosudarstvennoĭ meditsinskoĭ akademii im. akad. E.A. Vagnera Roszdrava, MSCh #9 im. M.A. Tver'e, Perm'

List of references:

  1. Bagnenko S.F., Sinenchenko G.I., Verbitskii V.G. i dr. Primenenie protokolov organizatsii lechebno-diagnosticheskoi pomoshchi pri yazvennykh gastroduodenal'nykh krovotecheniyakh v klinicheskoi praktike. Vestn khir 2007; 4; 71-75.
  2. Gostishchev V.K., Evseev M.A. Problema vybora metoda lecheniya pri ostrykh gastroduodenal'nykh yazvennykh krovotecheniyakh. Khirurgiya 2007; 7: 7-10.
  3. Efimenko N.A., Lysenko M.V., Astashev V.L. Krovotecheniya iz khronicheskikh gastroduodenal'nykh yazv: sovremennye vzglyady i perspektivy lecheniya. Khirurgiya 2004; 3: 56-60.
  4. Krivosheev S.V. Obrabotka kul'ti dvenadtsatiperstnoi kishki metodom «pogruzhnogo kapyushona». Khirurgiya 1951; 11: 35-36.
  5. Lebedev N.V., Klimov A.E., Barkhudarova T.V. i dr. Taktika lecheniya bol'nykh s yazvennymi gastroduodenal'nymi krovotecheniyami. Vestn khir 2007; 4: 76-79.
  6. Lutsevich E.V., Belov I.N. Lechenie yazvennykh gastroduodenal'nykh krovotechenii. Ot khirurgii k terapii? Khirurgiya 2008; 1: 4-7.
  7. Pantsyrev Yu.M., Mikhalev A.I., Fedorov E.D. Khirurgicheskoe lechenie probodnykh i krovotochashchikh gastroduodenal'nykh yazv. Khirurgiya 2003; 3: 43-49.
  8. Repin B.N., Kostylev L.M., Vozgoment A.O. i dr. Sovremennye podkhody v khirurgii yazvennoi bolezni zheludka i dvenadtsatiperstnoi kishki. Permskii meditsinskii zhurnal 2003; tom KhKh; 2: 172-175.
  9. Stoiko Yu.M., Bagnenko S.F., Kurygin A.A. i dr. Yazvennye zheludochno-kishechnye krovotecheniya. Khirurgiya 2002; 8: 32-35.
  10. Shapkin Yu.G., Kapralov S.V., Matveeva E.N. i dr. Aktivnaya taktika v lechenii krovotochashchei yazvy. Khirurgiya 2004; 9: 29-31.
  11. Shevchenko Yu.L., Korznikova A.A., Stoiko Yu.M. i dr. Differentsirovannoe lechenie yazvennykh gastroduodenal'nykh krovotechenii. Khirurgiya 2006; 11: 18-23.

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