GASTRODUODENAL ULCEROUS HEMORRHAGES

Aim. To develop the criteria for determination of surgical tactics in gastroduodenal ulcerous hemorrhages. Materials and methods. The results of treatment of 353 patients with chronic ulcerous gastric and duodenal hemorrhages were analyzed. The type of hemorrhage - arterial and venous - was used as a criterion for determination of surgical tactics in case of gastroduodenal hemorrhages. The patients were distributed according to the type of hemorrhage: 58 (16,4 %) had arterial hemorrhage, 295 (83,6 %) - venous hemorrhage. Differential diagnosis of the type of hemorrhage was performed by clinical, endoscopic and laboratory data. Results. In case of arterial hemorrhage with sharp disturbance of hemostasis, hemorrhagic shock starts rather promptly. In such situations, hemostatic therapy gives a temporary effect. In case of venous hemorrhage, its duration is long, there are no signs of hemorrhagic shock, completed hemorrhages are less recurrent and hemostatic therapy in most cases is effective. On the basis of the obtained data, RF Patent invention № 2407445 (December 27, 2010) was received by us. Conclusions. Assessment of arterial, venous and capillary type of hemorrhage permits to optimize the surgical tactics in patients with gastroduodenal ulcerous hemorrhages and to decrease the total lethality to 3,5 %.

Ulcerous gastroduodenal hemorrhages, gastric and duodenal ulcerous disease, gastrointestinal hemorrhages