GASTRODUODENAL ULGER BLEEDING: CURRENT STATE OF PROBLEM
Abstract
The article presents a review of foreign literature over the past 15 years on the problem of acute ulcerative gastroduodenal bleeding. Diagnostic issues are described in detail, methods for studying the first and second lines, diagnostic significance of gastroduodenoscopy, computed tomography, angiography of visceral branches of the abdominal aorta are considered. Endoscopy, as a rule, is a method of diagnosing the first line, the significance of CT is not completely determined. In difficult cases, in severe patients, according to the results of an interdisciplinary discussion, angiography can be used as a diagnostic method. The analysis of existing methods of stratification of the severity of bleeding, the presence and threat of recurrence of bleeding has been performed. The characteristic, indications for endoscopic, conservative, surgical and endovascular methods of hemostasis, the sequence of their application are presented. Particular attention is paid to the issues of forecasting, the choice of therapeutic tactics and prevention of recurrence of bleeding.
About the Authors
Sh. V. Timerbulatov
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
M. V. Timerbulatov
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
R. B. Sagitov
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
V. M. Timerbulatov
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
A. R. Gafarova
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
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For citations:
Timerbulatov Sh.V., Timerbulatov M.V., Sagitov R.B., Timerbulatov V.M., Gafarova A.R. GASTRODUODENAL ULGER BLEEDING: CURRENT STATE OF PROBLEM. Bashkortostan Medical Journal. 2020;15(2):85-96. (In Russ.)
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