Reiti A. O., Shcherbina O. Y.
COMBINED ENDOSCOPIC INTERVENTION FOR STOPPING ULCERATIVE GASTROINTESTINAL BLEEDING IN PATIENTS WITH OBESITY
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About the author:
Reiti A. O., Shcherbina O. Y.
Heading:
CLINICAL AND EXPERIMENTAL MEDICINE
Type of article:
Scientific article
Annotation:
The problem of gastroduodenal ulcer bleeding is still relevant and poses a significant threat to the population of Ukraine. It is known that this pathology predominates in the older age group, and only 20% of cases occur in the young and middle age group. The depth of the problem can be realized by knowing that about 74.1% of patients with grade 3 obesity take at least one anticoagulant or ulcerogenic drug regularly, and another 27.1% take four or more drugs. When treating such patients, a practitioner often faces a “stalemate” clinical situation when, on the one hand, the use of disaggregants, anticoagulants and steroidal anti-inflammatory drugs is critically needed to compensate for comorbid nosology, and on the other hand, the discontinuation of these drugs is essential to stop bleeding. The aim is to improve the treatment results of gastrointestinal bleeding in obese patients. A prospective study of the results of laparoscopic intragastric treatment of bleeding from a peptic ulcer (n=16) was performed. The proposed technique reduced the duration of the operation by 49.4% and allowed 65.9% faster access to the bleeding area. In addition, revision or puncture aspiration under ultrasound control of the extraperitoneal wound was required in 9 patients (56.3%) with the open technique and was not present in the hybrid treatment group. It has been established that the hybrid bleeding control technique is safe and helps to reduce the duration of surgery by 46.9%.
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Bibliography:
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Publication of the article:
«Bulletin of problems biology and medicine», 2024 Issue 4, 175, 450-457 pages, index UDC 616.3-05-056.527-089.15
