RESUMO
The results of treatment of 53 patients, suffering an acute gastro-intestinal bleeding of the ulcer etiology are adduced. The proton pump inhibitor Omez infusion have promoted the improvement of the patients treatment results.
Assuntos
Hemorragia Gastrointestinal/tratamento farmacológico , Omeprazol/uso terapêutico , Inibidores da Bomba de Prótons , Úlcera Gástrica/complicações , Doença Aguda , Adulto , Idoso , Feminino , Hemorragia Gastrointestinal/etiologia , Hemorragia Gastrointestinal/metabolismo , Humanos , Injeções Intravenosas , Masculino , Pessoa de Meia-Idade , Omeprazol/administração & dosagem , Úlcera Péptica Hemorrágica/tratamento farmacológico , Úlcera Péptica Hemorrágica/etiologia , Úlcera Péptica Hemorrágica/metabolismo , Resultado do TratamentoRESUMO
An ischemic intestinal affection is observed frequently, its diagnosis difficult, mortality is high. In the clinic there were followed 47 patients with an ischemic intestinal affection. In 24 of them the etiology of ischemia was mesenterial thrombosis, in 23--strangulational ileus. While the doubt in intestinal viability existed, relaparotomy was performed for its state estimation and in necrosis-resection with primary anastomosis conduction. Mortality was 2.1%. Application of such a tactic had permitted to reduce significantly the frequency of resection conduction while doubt in intestinal viability present as well as mortality--in intestinal necrosis.
Assuntos
Íleus/etiologia , Íleus/cirurgia , Intestino Delgado/irrigação sanguínea , Intestino Delgado/patologia , Isquemia/complicações , Isquemia/patologia , Doença Aguda , Anastomose Cirúrgica , Diagnóstico Diferencial , Humanos , Pessoa de Meia-Idade , Necrose , Complicações Pós-Operatórias/cirurgia , Reoperação , Índice de Gravidade de Doença , Fatores de TempoRESUMO
There were examined 30 patients with benign tumor of stomach and intestine, complicated by hemorrhage. The operation conduction is indicated when benign tumor is revealed because of the profuse hemorrhage recurrency danger. When the bleeding gastric or intestinal polyp is present the conservative therapy or the conduction of endoscopic hemostasis and biopsy with subsequent performance of the planned operative intervention are effective.