OPTIMIZATION OF SURGICAL TACTICS ULCEROUS GASTRODUODENAL BLEEDING

Abstract

The aim of our research is to determine ways of improving the results of surgical treatment of gastroduodenal ulcer bleeding. A promising trend is to be recognized a surgical strategy based on the prediction of recurrence of bleeding. The results of therapy of 2365 patients with bleeding-forming ulcers of gastroduodenal zone, who have been taking steady-nary treatment in MBHI KCC HEMC Krasnodar from 2009 till 2016 years. The have been analysed recurrence of bleeding effect in hospital was registered in 419 cases (17,7 %). The main criteria for the choice of tactics of treatment of gastroduodenal ulcer bleeding are: the degree of stability of the hemostasis of the ulcer, the severity of the bleeding and degree of the "operation risk". Additional criteria include: location, size of ulcers and the criteria for the violation of hemostasis. Differential approach based on the prediction of recurrence of bleeding, will help to improve treatment and reduce postoperative mortality in gastroduodenal bleeding.