RESUMO
The authors have analyzed results of treatment of 60 patients with acute gastroduodenal bleedings against the background of diabetes mellitus. The main methods of diagnosis are the endoscopic and laboratory methods. In 60% of the patients the source of bleeding was acute erosion-ulcerous lesions, in 40% -chronic ulcers. Choice of the method of treatment depended on the source of bleeding, the degree of carbohydrate metabolism, the spectrum of concomitant pathology. Endoscopic hemostasis is the method of choice in treatment of acute and chronic ulcers of high risk of relapses in somatically burdend patients.
Assuntos
Diabetes Mellitus , Endoscopia Gastrointestinal/métodos , Hemorragia Gastrointestinal/complicações , Hemostasia Cirúrgica/métodos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Hemorragia Gastrointestinal/diagnóstico , Hemorragia Gastrointestinal/cirurgia , Humanos , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Adulto JovemRESUMO
The authors have performed examination and treatment of 55 patients with peptic stricture of the esophagus. The algorithm of examination (X-ray method, endoscopic method, express pH-metry of the upper part of the gastrointestinal tract, USI of the abdominal cavity organs) allowed characterization of the stricture, detection of the disease which resulted in its development. The treatment included endoscopic methods (bougienage, balloon dilatation) for restoration of patency of the esophagus, pharmacotherapy directed to suppression of gastric secretion and improving the motor function of the gastrointestinal tract. Frequent relapses of peptic strictures, suspected neoplasias in the patient's esophagus should be treated surgically.