MANAGEMENT OF PATIENTS WITH GASTRIC AND DUODENAL ULCERATIVE BLEEDING

Authors

  • Murod Shavkatovich Khakimov Professor, Chief of Department of Faculty and Hospital Surgery, Tashkent Medical Academy, Tashkent, Uzbekistan Address: Uzbekistan, Tashkent city, Olmazor region, TOSHGOSMI 19/12,
  • Sheroz Ermatovich Ashurov PhD, Manager of Emergency Surgical Department, Tashkent Medical Academy, Tashkent, Uzbekistan Address: Uzbekistan, Tashkent province, Zangiota region, Amir Temur 48,
  • Jamol Kurbonalievich Dehkonov Manager of Thoracoabdominal Surgical Department, Tashkent Medical Academy, Tashkent, Uzbekistan Address: Uzbekistan, Tashkent city, Olmazor region, TOSHGOSMI 24/4,
  • Jakhongir Khabibjon ugli Kushiev Assistant, Department of Faculty and Hospital Surgery, Tashkent Medical Academy, Tashkent, Uzbekistan Address: 100019 Uzbekistan, Tashkent, Navoiy-Zarqaynar 1|13
  • Sarvar Ismoil ugli Fayziyev Assistant, Department of Faculty and Hospital Surgery, Tashkent Medical Academy, Tashkent, Uzbekistan Address: 120100 Uzbekistan, Syrdarya Gulistan, I.Karimov 59|6

Keywords:

endoscopic haemostasis; retrograde endoscopic haemostasis; injection; haemoclipping; argon plasma coagulation; profuse gastroduodenal peptic ulcer bleeding.

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.      

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Published

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How to Cite

Murod Shavkatovich Khakimov, Sheroz Ermatovich Ashurov, Jamol Kurbonalievich Dehkonov, Jakhongir Khabibjon ugli Kushiev, & Sarvar Ismoil ugli Fayziyev. (2022). MANAGEMENT OF PATIENTS WITH GASTRIC AND DUODENAL ULCERATIVE BLEEDING. EPRA International Journal of Research and Development (IJRD), 7(10), 38–44. Retrieved from https://eprajournals.net/index.php/IJRD/article/view/978

Issue

Vol. 7 No. 10 (2022): EPRA International Journal of Research and Development (IJRD)

Section

Articles