ABSTRACT
Results of treatment of Mallory-Weiss syndrome using endoscopic methods of hemostasis in 549 patients were analyzed. The patients were divided into two groups: in 2000-2004 years without endoscopic methods, in 2004-2008 years using the endoscopic methods in the diagnostics and treatment. Considerably decreased operative activity and death rate was established in cases of treatment with endoscopic methods.
Subject(s)
Argon Plasma Coagulation , Hemostasis, Endoscopic , Mallory-Weiss Syndrome/therapy , Combined Modality Therapy , Esophagogastric Junction/blood supply , Esophagogastric Junction/pathology , Esophagogastric Junction/physiopathology , Hemostasis, Endoscopic/methods , Hemostasis, Endoscopic/standards , Humans , Mallory-Weiss Syndrome/pathology , Mallory-Weiss Syndrome/physiopathology , Outcome Assessment, Health Care/statistics & numerical data , Perioperative Care , Regional Blood Flow , Retreatment/statistics & numerical data , Secondary Prevention , Severity of Illness Index , Treatment OutcomeABSTRACT
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.
