ENDOSCOPIC TREATMENT OF BLEEDING OF THE UPPER GASTROINTESTINAL TRACT.LITERARY REVIEW.
Relevance. Acute gastrointestinal bleeding remains a pressing problem in emergency abdominal surgery. In most cases, gastrointestinal bleeding stops spontaneously. In other cases, one intervention or another is required. The choice of treatment depends on the source of the bleeding. Endoscopic procedures are effective methods of stopping bleeding, allowing one to avoid extensive laparotomy surgery. The surgeon must have a choice between different methods of hemostasis based on specific operating conditions.
Purpose. Analysis of problems regarding the treatment of upper gastrointestinal bleeding, the timeliness of prescribing drug and endoscopic hemostatic therapy according to modern literature
Search strategy. The study examined full-text publications in English and Russian, which are devoted to the endoscopic treatment of gastrointestinal bleeding from the upper digestive tract in foreign countries. The following search engines were used in the literature search process: Pubmed, Web of science, Cyberleninka, Google Scholar using keywords. Publications from 2009 to 2022 were studied and analyzed; the articles were mainly foreign and in English. More than 130 publications were identified on this topic. Of these, 86 publications corresponded to the purpose of our study. Inclusion criteria: Publications of level of evidence A, B: meta-analyses, systematic reviews, cohort and cross-sectional studies. Exclusion criteria: brief reports, newspaper articles and personal communications.
Results and conclusions. The literature review presents issues of endoscopic treatment of gastrointestinal bleeding from the upper digestive tract. The choice, strategy and techniques are substantiated in various clinical situations, including recurrent bleeding. It tells about hemostatic devices and drugs, about the advantages of different types of clips used for the purpose of hemostasis.
Marina A. Semikina1, https://orcid.org/0000-000-3254-7927
Nurlan S. Kamassov1, https://orcid.org/0000-0001-8305-1505
Talgat A. Kussainov1, https://orcid.org/0000-000-3259-0980
Arip S. Salykov1, https://orcid.org/ 0000-0001-7732-4765
MaratK.Syzdykbayev2, https://orcid.org/0000-0002-0561-4111
1 Ekibastuz city hospital, Ekibastuz, Republic of Kazakhstan;
2 NJSC «Semey Medical University», Semey, Republic of Kazakhstan.
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Semikina M.A., Kamassov N.S., Kussainov T.A., Salykov A.S., Syzdykbaev M.K. Endoscopic treatment of bleeding of the upper gastrointestinal tract. Literary review // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 5, pp. 209-219. doi 10.34689/SH.2023.25.5.027Related publications:
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