Surgical tactics in gastrointestinal hemorrhages in elderly

At the present stage the number of operations is reduced at a ulcer gastroenteric bleeding. Occurrence modern antysecretor drags and wide introduction endoscopic and endovascular methods of hemostasis has led to decrease of urgent operative interventions in group of patients with high risk of reblee...

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Bibliographic Details
Published inĖksperimental'nai͡a︡ i klinicheskai͡a︡ gastroėnterologii͡a no. 8; p. 72
Main Authors Dzhitava, I G, Kan, V I, Siluianov, S V, Smirnova, G O
Format Journal Article
LanguageRussian
Published Russia (Federation) 2009
Subjects
Age Factors
Aged
Endoscopy, Gastrointestinal - methods
Humans
Middle Aged
Peptic Ulcer Hemorrhage - diagnosis
Peptic Ulcer Hemorrhage - drug therapy
Peptic Ulcer Hemorrhage - mortality
Peptic Ulcer Hemorrhage - surgery
Postoperative Complications - mortality
Risk Factors
Secondary Prevention
Severity of Illness Index
Treatment Outcome
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Summary:At the present stage the number of operations is reduced at a ulcer gastroenteric bleeding. Occurrence modern antysecretor drags and wide introduction endoscopic and endovascular methods of hemostasis has led to decrease of urgent operative interventions in group of patients with high risk of rebleeding in 4 times. The number of such minimal operations was reduced in 10 times. They do not give expected hemostasis effect and are accompanied high mortality. Change of surgical tactics at elderly patients has led to decrease postoperative mortality from 15.8 up to 5.8% and the general mortality from 15.8 up to 9.6%.
ISSN:1682-8658