Upper gastrointestinal bleeding. Analysis of the results of treatment in a district hospital

Aims. To analyze the results of treatment of patients with nonvariceal upper gastrointestinal bleeding in the conditions of the central district hospital (in the absence of technical capabilities for endoscopic hemostasis). Methods. The analysis of the treatment results of 472 patients with nonvariceal upper gastrointestinal bleeding who were hospitalized in the Beloretsk Central District Hospital from 2008 to 2018 was carried out. During this period, the clinic lacked technical capabilities for performing endoscopic hemostasis. Results. As a source of bleeding, the peptic ulcers (50.8%) and Mallory-Weiss tears (37.3%) take the leading place. Following are the erosive lesions of the esophagus, stomach and duodenum (9.3%). Surgical treatment for peptic ulcer bleeding was performed in 22.9% of cases, with Mallory-Weiss tears - in 4%. Rebleeding was characteristic of peptic ulcer disease (21.7%) and Mallory-Weiss tears (5.7%). Mortality with peptic ulcer bleeding was 6.3%, with Mallory-Weiss tears - 1...