The role of in-hospital protocols in diagnosis and treatment of ulcerative gastroduodenal bleeding

Sovtsov S.A.

doi:https://doi.org/10.17116/hirurgia2018856

Sovtsov S.A.

South Ural State Medical University Ministry of Health of the Russian Federation, Chelyabinsk, Russia

The role of in-hospital protocols in diagnosis and treatment of ulcerative gastroduodenal bleeding

Authors:

Sovtsov S.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2018;(8): 56‑60

DOI: 10.17116/hirurgia2018856

Read: 966 times

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Sovtsov SA. The role of in-hospital protocols in diagnosis and treatment of ulcerative gastroduodenal bleeding. Pirogov Russian Journal of Surgery. 2018;(8):56‑60. (In Russ.)
https://doi.org/10.17116/hirurgia2018856

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

Close metadata

Recommended articles:

Traumatic injuries of the rectum and anus in childhood. Pirogov Russian Journal of Surgery. 2025;(8):62-66

Sacral dysmorphism in patients with traumatology and orthopedics. Russian Journal of Operative Surgery and Clinical Anatomy. 2025;(2):30-37

Rapidly progressive periodontitis. (A successful experience of eighteen years of observation). Russian Journal of Stomatology. 2025;(2):61-67

Vertebroplasty for pathological vertebral fracture with osteoporosis. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(6):67-76

Bacterial vaginosis: modern views. Russian Journal of Clinical Dermatology and Venereology. 2025;(3):261-268

Method of photodynamic action in surgical treatment of local limited peritonitis in the experiment. Russian Journal of Operative Surgery and Clinical Anatomy. 2025;(2-2):77-86

Appendicular diverticulum in acute appendix. Russian Journal of Operative Surgery and Clinical Anatomy. 2025;(2-2):117-120

Non-alcoholic fatty liver disease: a view formation on the problem and its significance for the clinical practice. Russian Journal of Preventive Medicine. 2025;(7):127-132

Features of the clinical course of multiple sclerosis as a factor in persistent disability. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(7-2):39-44

Course and outcomes of pregnancy in patients with multiple pregnancies with rhesus isoimmunization. Russian Bulletin of Obstetrician-Gynecologist. 2025;(4):59-65

Abstract:

Aim. To improve immediate results in patients with acute ulcerative gastroduodenal bleeding. Material and methods. The study enrolled 91 patients with ulcerative gastroduodenal bleeding. Results. Diagnostic and curative procedures should be related to hospital’s equipment, specialists’ qualification and comprehensive development and application of accepted tactical approaches. 20-year development of this protocol which includes original low-temperature irrigator of stomach and duodenal mucous membranes, objective choice of endoscopic hemostasis technique depending on bleeding source in gastroduodenal wall, early administration of proton pump inhibitors significantly increases efficacy and reliability of endoscopic hemostasis. It was followed by improved early outcomes: recurrent bleeding incidence was 4.2%, surgical activity decreased by 68% up to 13.2%, overall and postoperative mortality was 2.2% and 8.3% respectively.

Keywords:

acute appendicitis

appendectomy

non-surgical treatment

antibacterial therapy

catarrhal appendicitis

Authors:

Sovtsov S.A.

South Ural State Medical University Ministry of Health of the Russian Federation, Chelyabinsk, Russia

Close metadata

References:

Gostishchev VK, Yevseyev MA. Gastroduodenal bleedings of an ulcer aetiology. The Manual for doctors. M: Geotar-Media; 2008. (In Russ.)
Ermolov AS, Teterin YuS, Pinchuk TP. The combined endoscopic hemostasis in case of gastroduodenal ulcerative bleeding. Khirurgiia. 2014;2:4-7. (In Russ.)
Podshivalov VYu. Visualisation improvement — real path of rise of efficiency endoscopy at proceeding gastroduodenal bleedings. Vestnik khirurgii. 2006;1:24-27. (In Russ.)
Podshivalov VYu. Endoscopy bleeding gastroduodenal ulcers. Khirurgiia. 2006;4:33-38. (In Russ.)
Protocols of the organisation of the medical-diagnostic help at non-variceal gastrointestinal bleedings (from chronic stomach ulcers, a duodenal gut and peptic ulcers. GEA-MKB-10-k25.4, k26.4, k28.4). Issuing the first. SPb. 2013;11. (In Russ.)
Sovtsov SA, Podshivalov VYu. New classification and methodical approaches to ulcer gastroduodenal bleedings. Materials of the First congress of the Moscow surgeons «The Urgent and specialised surgical help». M. 2005;32-33. (In Russ.)
Sovtsov SA, Podshivalov VYu. Modern approaches to treatment of ulcer gastroenteric bleedings. Surgery pressing questions: materials of edge scientifically-practical conference. Perm. 2011;254-259. (In Russ.)
Sovtsov SA, Podshivalov VYu. The new strategy of treatment of ulcer gastroenteric bleedings. XI Congress of Surgeons of the Russian Federation on May, 25—27th, 2011 congress Materials. Volgograd. 2011;692-693. (In Russ.)
Sovtsov SA, Podshivalov VYu, Tomilov MN, Erdman ZV, Moskalev SI. The device for treatment of gastroenteric bleedings. The patent of the Russian Federation for the invention №2204335. The Official bulletin of the Russian agency under patents and trade marks. «Inventions. Useful models». 2003;14:32. http://bd.patent.su/2204000-2204999/pat/ servl/servlet913a.html (In Russ.)
Barkun AN, Bardou M, Kuipers EJ, et al. International consensus recommendations on the management of patients with nonvariceal upper gastrointenctinal bleening. Ann Intern Med. 2010;152:2:101-113. https://doi.org/10.7326/0003-4819-152-2-201001190-00009
Blatchford O, Murray WR, Blatchford M. A risk score to predict need for treatment for upper-gastrointestinal haemorrhage. Lancet. 2000;356:1318-1321. https://doi.org/10.1016/S0140-6736(00)02816-6
Chen IC, Hung MS, Chiu TF, et al. Risk scoring systems to predict need for clinical intervention for patients with nonvariceal upper gastrointestinal tract bleeding. Am J Emerg Med. 2007;25:774-779. https://doi.org/10.1016/j.ajem.2006.12.024
Stanley AJ, Ashley D, Dalton HR, at al. Outpatient management of patients with low-risk upper-gastrointestinal haemorrhage: multicentre validation and prospective evaluation. Lancet. 2009;373:42-47. https://doi.org/10.1016/S0140-6736(08)61769-9