DEVELOPMENT OF TISSUE ENDOSURGERY IN EARLY CANCER AND POLYPS OF THE STOMACH BY IMPROVING HEMOSTASIS

Abstract

The article is devoted to the topical issue of endoscopic hemostasis in the treatment of polyps and early gastric cancer. The study included 231 patients with tumor pathology of the stomach, of which 140 (60%) patients with polyps and early stomach cancer (groups A1 and A2) operated on according to the principles of tissue surgery. And the comparison group (B1 and B2) consisted of 91 patients (40%), treated by traditional endoscopic methods. A comparative analysis of the application of these methods of endoscopic treatment has been made. Tissue endoscopic surgery due to the improvement of local hemostasis is effective in the treatment of flat epithelial formations up to 30 mm, as well as creeping polyps spread out on a broad basis, as well as in combination with loop electroscission. Studies have shown a reduction in the duration of operations, changes in blood loss, the healing time of the mucosal defect, the quality of hemostasis and a number of complications. Methods of tissue endosurgery demonstrate their relevance and have the prospect for further development and widespread use in medical institutions.