ABSTRACT
The authors analyzed the results of treatment of 965 patients with bleeding from gastroduodenal ulcers. The endoscopic hemostasis was carried out in 20.2% patients, however a recurrence of bleeding was noted in 12.8% cases. The combined endoscopic hemostasis was performed in 76.9% patients, though the relapse of bleeding had only 4.2% and 49 patients were safe. A surgery was required for 3.2% patients.
Subject(s)
Endovascular Procedures/methods , Hemostasis, Endoscopic/methods , Peptic Ulcer Hemorrhage , Peptic Ulcer , Radiography, Interventional/methods , Adult , Endovascular Procedures/adverse effects , Female , Hemostasis, Endoscopic/adverse effects , Humans , Male , Peptic Ulcer/complications , Peptic Ulcer/diagnosis , Peptic Ulcer/surgery , Peptic Ulcer Hemorrhage/diagnosis , Peptic Ulcer Hemorrhage/etiology , Peptic Ulcer Hemorrhage/mortality , Peptic Ulcer Hemorrhage/surgery , Recurrence , Russia , Survival AnalysisABSTRACT
The article presents an analysis of surgical treatment of 186 patients with complicated forms of chronic pancreatitis. Potentials of different instrumental techniques of investigations in diagnostics of complications of chronic pancreatitis are analyzed. Performance of retrograde cholangiopancreatography in chronic pancreatitis was shown to be expedient. Potentials of minimally invasive technologies and effectiveness of these interventions in different complicated forms of chronic pancreatitis were studied. Differentiated approach to decision on the kind and volume of operation depending on the complication character was shown. The proposed diagnostic algorithm and medical strategy allowed satisfactory immediate results to be obtained in this difficult group of patients.
