Endoscopy in the diagnosis and treatment of gastroduodenal bleedings in patients with pancreatitis
https://doi.org/10.24884/0042-4625-2023-182-5-48-51
Abstract
The OBJECTIVE was to study the possibilities of endoscopy in the diagnosis and treatment of bleedings in patients with pancreatitis.
METHODS AND MATERIALS. Based on the analysis of 135 patients with pancreatitis complicated by gastroduodenal bleeding, we determined the location and possibilities of endoscopic hemostasis. The article analyzes 2 groups of patients. The first group (64 patients with acute pancreatitis and gastroduodenal bleeding). The second group (71 patients with chronic pancreatitis complicated by gastroduodenal bleeding). The article shows features of endoscopic examination of patients with pancreatitis complicated by gastroduodenal bleeding.
RESULTS. The leading method of stopping bleeding in these groups of patients is endoscopic hemostasis.
CONCLUSION. The choice of endoscopic hemostasis method depends on the cause and nature of the bleeding. The developed technique of endoscopic hemostasis has reduced the mortality rate from gastroduodenal bleeding in patients with pancreatitis to 3 %.
About the Authors
R. G. Avanesyan
Saint Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Avanesyan Ruben G. - Dr. of Sci. (Med.), Head of the Department of General Surgery with the Course of Endoscopy.
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
M. P. Korolev
Saint Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Korolev Mikhail P. - Dr. of Sci. (Med.), Professor of the Department of General Surgery with the Course of Endoscopy.
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
L. E. Fedotov
Saint Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Fedotov Leonid E. - Dr. of Sci. (Med.), Professor of the Department of General Surgery with the Course of Endoscopy.
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
M. V. Antipova
Saint Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Antipova Mariia V. - Cand. of Sci. (Med.), Associate Professor of the Department of General Surgery with the Course of Endoscopy.
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
D. S. Rusanov
Saint Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Rusanov Dmitry S. - Cand. of Sci. (Med.), Associate Professor of the Department of General Surgery with the Course of Endoscopy.
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
L. Z. Hafizov
Saint Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Hafizov Lutfullo Z. - Postgraduate Student of the Department of General Surgery with the Course of Endoscopy.
Saint Petersburg
Competing Interests:
The authors declare no conflict of interest
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Review
For citations:
Avanesyan R.G., Korolev M.P., Fedotov L.E., Antipova M.V., Rusanov D.S., Hafizov L.Z. Endoscopy in the diagnosis and treatment of gastroduodenal bleedings in patients with pancreatitis. Grekov's Bulletin of Surgery. 2023;182(5):48-51. (In Russ.) https://doi.org/10.24884/0042-4625-2023-182-5-48-51
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