RESUMO
The surgical hemostasis method was elaborated and introduced in the clinic according to the data of morphological investigation of bleeding penetrating ulcer of the duodenal ampulla posterior wall in elderly and senile patients.
Assuntos
Úlcera Duodenal/complicações , Úlcera Péptica Hemorrágica/cirurgia , Úlcera Péptica Perfurada/cirurgia , Idoso , Animais , Cães , Úlcera Duodenal/patologia , Úlcera Duodenal/cirurgia , Duodeno/patologia , Duodeno/cirurgia , Feminino , Seguimentos , Hemostasia Cirúrgica/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Úlcera Péptica Hemorrágica/patologia , Úlcera Péptica Perfurada/patologia , Fatores de TempoRESUMO
The classification of chronical bleeding gastroduodenal ulcer in elderly and senile patients, considering the blood loss severity and concurrent pathology, was proposed. The tactics of treatment--conservative, operative, or actively-waiting one--was determined according to the classification adduced. The proposed classification application and the tactics of treatment also have permitted to reduce mortality from 15.7 to 11.2%.
Assuntos
Hemorragia Gastrointestinal/etiologia , Hemorragia Gastrointestinal/terapia , Úlcera Péptica , Idoso , Idoso de 80 Anos ou mais , Doença Crônica , Humanos , Pessoa de Meia-Idade , Úlcera Péptica/complicações , Úlcera Péptica/diagnóstico , Úlcera Péptica/terapia , Índice de Gravidade de DoençaRESUMO
An experimentally elaborated and introduced in clinical practice organpreserving methods of surgical treatment of the bleeding duodenal ulcer, localized on the ampullar posterior wall in elderly and senile patients, mentioning the ulcer tamponade with complete duodenal inlet overlapping and the gut passability restoration using gastroenteroanastomosis antecolica anterior formation with anastomosis according to Brown, were proposed. The secure stoppage of bleeding is guaranteed by the application of the method, what is simple in application.