RESUMO
Treatment of ulcerative gastroduodenal bleedings remains one of the most pressing problems in urgent surgery. Available methods of endoscopic hemostasis are not fully eligible to safety requirements, effectiveness and reliability. In this connection persist high levels of general and postoperative mortality in our country and around the world. The aim of this study is to identify the advantages and disadvantages of endoscopic radiofrequency effects in comparison with standard techniques of hemostasis, used in the treatment of ulcer bleeding in the world practice.
Assuntos
Eletrocoagulação/métodos , Endoscopia Gastrointestinal/métodos , Hemostase Endoscópica/métodos , Úlcera Péptica Hemorrágica/terapia , Animais , Modelos Animais de Doenças , Epinefrina/administração & dosagem , Epinefrina/uso terapêutico , Masculino , Úlcera Péptica Hemorrágica/patologia , Ratos , Ratos Wistar , Resultado do Tratamento , Vasoconstritores/administração & dosagem , Vasoconstritores/uso terapêuticoRESUMO
Treatment results in 110 patients with stenotic bleeding pyloroduodenal ulcers (SBPU) were analyzed. Correlation dependence of hemorrhage severity and recurrence frequency from the degree of pyloroduodenal stenosis was revealed. Recurrence of ulcer gastroduodenal bleeding - is the main factor that determines lethality at SPBU. The total lethality against a background of SPBU recurrence was 16%, whereas in the absence of recurrence it was 10%. Treatment tactics in patients with SPBU was worked out. The best results were received after urgent operations which had been carried out after short-term preoperative preparation, aimed to blood replacement and correction of water-electrolytic and protein-energy disturbances at pyloroduodenal stenosis.
