EXPERIENCE IN OPTIMIZING THE CONDITIONS FOR PERFORMING ENDOSCOPIC HEMOSTASIS FOR ULCERATIVE GASTRODUODENAL BLEEDING

Strinkevich Alexander Vladimirovich, Amarantov Dmitry Georgievich, Chudinov Andrey Arkadevich, Orevkov Evgeniy Borisovich, Barinova Angelina Sergeevna, Denisova Polina Sergeevna, Fedachuk Natalya Anatolevna

Introduction. Currently, there is a need to improve the method of endoscopic hemostasis in stopping ulcerative gastroduodenal bleeding. The purpose of the study. To improve the technique of endoscopic hemostasis to improve the results of treatment of patients with ulcerative gastroduodenal bleeding. Materials and methods. The results of primary endoscopic examination with endoscopic hemostasis and endoscopic prevention of recurrent bleeding in 228 (100%) patients with ulcerative gastroduodenal bleeding were studied. Results. In the studied patients, endoscopic hemostasis measures began with irrigation of the ulcer with 96% ethyl alcohol, which led to a decrease in the rate of bleeding, simplified visualization of the ulcerative defect and the source of bleeding. Conclusion. Immediately after irrigation with alcohol, 25% of patients with ongoing gastroduodenal ulcerative bleeding managed to stop bleeding, and in 48.44% of cases it was possible to reduce the rate of bleeding, which simplified further measures of endoscopic hemostasis.

Keywords:esophagogastroduodenoscopy, gastrointestinal bleeding, stopping bleeding.