PMID: 25771515Mar 17, 2015Paper

Evaluation of the effectiveness of methods of endoscopic treatment of bleeding from the duodenal mucosa

Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego
Anna FrątczakJacek Rysz

Abstract

Bleeding from the upper gastrointestinal tract, despite the prevalence of endoscopic examinations and endoscopic methods of bleeding control, remains a significant problem. Available data indicate nondecreasing mortality of patients with active bleeding from the upper gastrointestinal tract although it is commonly known that such patients require fast endoscopic diagnosis and urgent treatment. Currently, the choice of method of endoscopic treatment of bleeding depends mostly on its availability and the decision of the physician performing the procedure. The aim of the study was to evaluate the efficacy of different techniques of endoscopic hemostasis from the duodenum, mainly the comparison of monotherapy with the use of at least two techniques of endoscopic treatment of bleeding used simultaneously. This paper presents a retrospective analysis of medical records of 78 patients (27 women, 51 men; 33 of them were over 65 years), hospitalized in the Department of Nephrology, Hypertension and Family Medicine between 2009 and 2012. In all these patients, active bleeding from the duodenum was observed during endoscopy performed because of clinical signs of gastrointestinal bleeding, and the following methods of blood flow stemming w...Continue Reading

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