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MANAGEMENT OF PATIENTS WITH GASTRIC AND DUODENAL ULCERATIVE BLEEDING


Murod Shavkatovich Khakimov,Sheroz Ermatovich Ashurov,Jamol Kurbonalievich Dehkonov,Jakhongir Khabibjon ugli Kushiev,Sarvar Ismoil ugli Fayziyev
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Abstract
Object: To evaluate the effectiveness of endoscopic haemostasis for peptic ulcer bleeding. Materials and methods: This study included 60 patients with bleeding from stomach and duodenal ulcers who underwent inpatient treatment at the emergency surgery department of the second clinic of the Tashkent Medical Academy between 2018 and 2020. There were 27 men (60.0%) and 18 women (40.0%), for a ratio of 1.5:1. The age of the patients ranged from 18 to 73 years. Only patients with bleeding evaluated as Forrest IA (FIA), FIB, or FIIA were included in the study. Bleeding was estimated as FIA in 10 (22.2%) patients, FIB in 8 (17.8%), and FIIA in 27 (60.0%). The haemoglobin level ranged from 28 to 100 g/l. In some cases, methods other than clipping were used for endohaemostasis, but because of their ineffectiveness, they were not included in the work. In all cases, to achieve haemostasis, Hemoclips varying in size from 5 to 12 mm (Olympus) were installed. Results: The analysis revealed that the efficacy of endoscopic clipping can reach up to 93.2% and that it is the method of choice for profuse gastroduodenal peptic ulcer bleeding, especially in patients with a high risk for anaesthesia and surgery. Thus, this method could be an alternative to open surgical interventions.
Keywords: endoscopic haemostasis; retrograde endoscopic haemostasis; injection; haemoclipping; argon plasma coagulation; profuse gastroduodenal peptic ulcer bleeding.
Journal Name :
EPRA International Journal of Research & Development (IJRD)

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Published on : 2022-10-10

Vol : 7
Issue : 10
Month : October
Year : 2022
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