Repeated endoscopic hemostasis as an alternative to surgical treatment of patients with gastroduodenal ulcerative bleeding

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Lebedev N.V.

Kafedra fakul'tetskoĭ khirurgii Rossiĭskogo universiteta druzhby narodov, Moskva

Klimov A.E.

Peoples’ Friendship University of Russia, Department of faculty surgery

Petukhov V.A.

Department of faculty surgery named after S.I. Spasokukotskyi, School of general medicine, Pirogov Russian National Research Medical University, Moscow, Russia

Repeated endoscopic hemostasis as an alternative to surgical treatment of patients with gastroduodenal ulcerative bleeding

Authors:

Lebedev N.V., Klimov A.E., Petukhov V.A.

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Journal: Pirogov Russian Journal of Surgery. 2016;(6): 52‑56

DOI: 10.17116/hirurgia2016652-56

Views: 1624

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To cite this article:

Lebedev NV, Klimov AE, Petukhov VA. Repeated endoscopic hemostasis as an alternative to surgical treatment of patients with gastroduodenal ulcerative bleeding. Pirogov Russian Journal of Surgery. 2016;(6):52‑56. (In Russ.)
https://doi.org/10.17116/hirurgia2016652-56

Подписка 2025 (Pirogov Russian Journal of Surgery)

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Aim. To define the role of endoscopic hemostasis in treatment of gastroduodenal ulcers complicated by bleeding. Material and 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.

Keywords:

ulcerative gastroduodenal bleeding

endoscopic hemostasis

treatment strategy

Authors:

Lebedev N.V.

Kafedra fakul'tetskoĭ khirurgii Rossiĭskogo universiteta druzhby narodov, Moskva

Klimov A.E.

Peoples’ Friendship University of Russia, Department of faculty surgery

Petukhov V.A.

Department of faculty surgery named after S.I. Spasokukotskyi, School of general medicine, Pirogov Russian National Research Medical University, Moscow, Russia

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