[An improved method of risk prediction and prevention of esophagogastroduodenal bleeding in geriatric urology].

With the aim of prediction and prevention of early postoperative esophagogastroduodenal bleeding (EPEGDB), 1296 elderly patients with BPH were examined during the preoperative period before isolated or simultaneous operations. Patients in group 1 (n=357) with a history of gastric or duodenal ulcer underwent esophagogastroduodenoscopy (EGDS). In group 2 (n=522) EGDS was performed and gastric acidity was determined using AGM-03 acid-gastrometer. Patients of group 3 (n=417) underwent EGDS and gastric acidity was determined by hromogastroscopy. The differentiated approach to treating patients of group 3 on the basis of preoperative comprehensive examination resulted in preventing severe complications such as EPEGDB. Prevention of EPEGDB in this category of geriatric patients should be as mandatory as preventing thromboembolic, respiratory, cardiovascular and septic complications.

[Elective combined operations - the new problem of geriatric surgery].

Elective combined operations were performed at 228 (10.96%) geriatric patients (aged from 60 to 85 years, 75.3% male, 24.7% female). It is demonstrated that more than 10% patients at specialized geriatric surgical departments require elective simultaneous operations, 86.8% of them are the surgeries of light and middle severity degree. Mini-invasive technologies and differential approach to the anesthetic management choice permit to increase contingent of geriatric patients who can treated with elective simultaneous surgical procedures, that decreases cost in 1.8 times compared with staged surgical treatment and significantly improves life quality of these patients.