The treatment of acute upper gastrointestinal bleeding of benign genesis
October 28, 2016
1183
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Resume Barkun A., Bardou M., Marshall J.K.; Nonvariceal Upper GI Bleeding Consensus Conference Group (2003) Consensus recommendations for managing patients with nonvariceal upper gastrointestinal bleeding. Ann. Intern. Med., 139(10): 843–857.
Doherty G.E. (Ed.) (2010) Current diagnosis and treatment: Surgery, 13th Ed., p. 493–498.
Hwang J.H., Fisher D.A., Ben-Menachem T. et al. (2012) The role of endoscopy in the management of acute non-variceal upper GI bleeding. Gastrointest. Endosc., 75(6): 1132–1138.
Laine L. (2013) Blood transfusion for gastrointestinal bleeding. N. Engl. J. Med., 368(1): 75–76.
Marmo R., Koch M., Cipolletta L. et al. (2014) Predicting mortality in patients with in-hospital nonvariceal upper GI bleeding: a prospective, multicenter database study.Gastrointest. Endosc., 79(5): 741–749.
Restellini S., Kherad O., Jairath V. et al. (2013) Red blood cell transfusion is associated with increased rebleeding in patients with nonvariceal upper gastrointestinal bleeding. Aliment. Pharmacol. Ther., 37(3): 316–322.
Villanueva C., Colomo A., Bosch A. et al. (2013) Transfusion strategies for acute upper gastrointestinal bleeding. N. Engl. J. Med., 368(1): 11–21.
We analyzed the results of treatment of 3858 patients with upper gastrointestinal bleeding during 2011–2015, who had got treatment in the Kiev City Ambulance Hospital. The most numerous group in 2381 (61.72%) patients included ones with bleeding from ulcers of stomach and duodenum. In this group, the conservative treatment and endoscopic hemostasis were effective in 93.87%, and mortality was 1.83%, while among operated patients mortality reached 17.36%. A small number of surgical interventions — 176 (4.56%) — among patients with acute upper gastrointestinal bleeding was caused by the effective conservative and endoscopic hemostasis.
Published: 28.10.2016
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