Method of diagnosis and treatment of profusional bleeding from stenosing postbulbar ulcers of the duodenum
| Autor: | Mamchych, Volodymyr, Vereshchagin, Sergiy, Maksymchuk, Volodymyr, Maksymchuk, Dmytro |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Gastrointestinal bleeding medicine.medical_treatment Superselective embolization 030230 surgery Duodenal ulcer 03 medical and health sciences 0302 clinical medicine Medicine Embolization X-ray endovascular interventions arosive bleeding medicine.diagnostic_test business.industry medicine.disease Surgery medicine.anatomical_structure Angiography Duodenum 030211 gastroenterology & hepatology business Complication Artery |
| Zdroj: | EUREKA: Health Sciences, Iss 2, Pp 37-43 (2021) |
| ISSN: | 2504-5679 2504-5660 |
| DOI: | 10.21303/2504-5679.2021.001730 |
| Popis: | The aim. To evaluate the effectiveness of X-ray interventions in arosive bleeding in patients with complicated duodenal ulcer. Materials and methods. X-ray endovascular interventions were used in 8 patients who developed arosive bleeding as a complication of duodenal ulcer. All patients with signs of gastrointestinal bleeding were examined according to clinical protocols. Hemodynamically stable patients underwent X-ray endovascular interventions. Results and discussion. In the near future, bleeding stopped in all 8 (100 %, OR–0.04 [0.005–0.29], p=0.03) patients. On day 2, two patients who underwent embolization of their own hepatic artery had a recurrence of bleeding (0.56 [0.065–4.76], p=0.29). Repeated angiography and embolization attempts were ineffective, and both patients died. In patients who underwent gastroduodenal and pancreatouodenal artery embolization, bleeding did not resume. Thus, we obtained good results as 6 out of 8 patients recovered (75 %), despite the severity of their condition and a disappointing prognosis (OR–9.0 [1.0–46.7], p |
| Databáze: | OpenAIRE |
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