Efficacy of intravascular embolization in profuse hemorrhage from complicated duodenal ulcers
Objective. To estimate the efficacy of intravascular embolization in profuse hemorrhage from complicated duodenal ulcers. Materials and methods. Into the investigation 80 patients were included, operated for the profuse hemorrhage complication of duodenal ulcers, penetrating into pancreatic head....
| Main Authors: | , , |
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| Format: | Article |
| Language: | Russian |
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Liga-Inform ltd.
2021-10-01
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| Series: | Клінічна хірургія |
| Subjects: | |
| Online Access: | https://hirurgiya.com.ua/index.php/journal/article/view/935 |
| _version_ | 1797839539256950784 |
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| author | D. V. Maksymchuk V. І. Mamchich V. D. Maksymchuk |
| author_facet | D. V. Maksymchuk V. І. Mamchich V. D. Maksymchuk |
| author_sort | D. V. Maksymchuk |
| collection | DOAJ |
| description | Objective. To estimate the efficacy of intravascular embolization in profuse hemorrhage from complicated duodenal ulcers.
Materials and methods. Into the investigation 80 patients were included, operated for the profuse hemorrhage complication of duodenal ulcers, penetrating into pancreatic head. The patients were distributed into two groups: the control - 40 patients, in whom the standard methods of the hemorrhage arrest were applied, and the main - 40 patients, in whom the method elaborated was used.
Results. In the main group in postoperative period the complications have had occur in 1 (2.5±0.2%) patients (p<0.001) only - the duodenal fistula development. There was verified, that the best results of hemostasis in hemorrhage from penetrating duodenal ulcers were obtained in the patients of the main group, in whom іntraoperative endovascular arrest of the hemorrhage together with the ulcer suturing was applied, because in 100% of patients of this group the definite hemostasis was achieved.
Conclusion. The proposed method of intraoperative endovascular arrest of hemorrhage from penetrating duodenal ulcer guarantees a qualitative hemostasis, lowers the rate of the hemorrhage early recurrence and the need for relaparotomy performance, and raises the surgical treatment quality. |
| first_indexed | 2024-04-09T15:59:37Z |
| format | Article |
| id | doaj.art-7ac9a476c5cb4ba09d268a5efb4e179a |
| institution | Directory Open Access Journal |
| issn | 0023-2130 2522-1396 |
| language | Russian |
| last_indexed | 2024-04-09T15:59:37Z |
| publishDate | 2021-10-01 |
| publisher | Liga-Inform ltd. |
| record_format | Article |
| series | Клінічна хірургія |
| spelling | doaj.art-7ac9a476c5cb4ba09d268a5efb4e179a2023-04-25T13:54:16ZrusLiga-Inform ltd.Клінічна хірургія0023-21302522-13962021-10-01885-6121710.26779/2522-1396.2021.5-6.12935Efficacy of intravascular embolization in profuse hemorrhage from complicated duodenal ulcersD. V. Maksymchuk0V. І. Mamchich1V. D. Maksymchuk2Shupyk National Healthcare Universityof Ukraine, KyivShupyk National Healthcare Universityof Ukraine, KyivChornobayiv Multidisciplinary HospitalObjective. To estimate the efficacy of intravascular embolization in profuse hemorrhage from complicated duodenal ulcers. Materials and methods. Into the investigation 80 patients were included, operated for the profuse hemorrhage complication of duodenal ulcers, penetrating into pancreatic head. The patients were distributed into two groups: the control - 40 patients, in whom the standard methods of the hemorrhage arrest were applied, and the main - 40 patients, in whom the method elaborated was used. Results. In the main group in postoperative period the complications have had occur in 1 (2.5±0.2%) patients (p<0.001) only - the duodenal fistula development. There was verified, that the best results of hemostasis in hemorrhage from penetrating duodenal ulcers were obtained in the patients of the main group, in whom іntraoperative endovascular arrest of the hemorrhage together with the ulcer suturing was applied, because in 100% of patients of this group the definite hemostasis was achieved. Conclusion. The proposed method of intraoperative endovascular arrest of hemorrhage from penetrating duodenal ulcer guarantees a qualitative hemostasis, lowers the rate of the hemorrhage early recurrence and the need for relaparotomy performance, and raises the surgical treatment quality.https://hirurgiya.com.ua/index.php/journal/article/view/935the ulcer disease; penetration of ulcer; erosive hemorrhage; endoscopic hemostasis; suturing of ulcer; embolization of vessels. |
| spellingShingle | D. V. Maksymchuk V. І. Mamchich V. D. Maksymchuk Efficacy of intravascular embolization in profuse hemorrhage from complicated duodenal ulcers Клінічна хірургія the ulcer disease; penetration of ulcer; erosive hemorrhage; endoscopic hemostasis; suturing of ulcer; embolization of vessels. |
| title | Efficacy of intravascular embolization in profuse hemorrhage from complicated duodenal ulcers |
| title_full | Efficacy of intravascular embolization in profuse hemorrhage from complicated duodenal ulcers |
| title_fullStr | Efficacy of intravascular embolization in profuse hemorrhage from complicated duodenal ulcers |
| title_full_unstemmed | Efficacy of intravascular embolization in profuse hemorrhage from complicated duodenal ulcers |
| title_short | Efficacy of intravascular embolization in profuse hemorrhage from complicated duodenal ulcers |
| title_sort | efficacy of intravascular embolization in profuse hemorrhage from complicated duodenal ulcers |
| topic | the ulcer disease; penetration of ulcer; erosive hemorrhage; endoscopic hemostasis; suturing of ulcer; embolization of vessels. |
| url | https://hirurgiya.com.ua/index.php/journal/article/view/935 |
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