Predictors of recurrence acute non variceal upper gastrointestinal bleeding

Автор: Khitaryan A.G., Ponomareev A.V., Shatov A.V., Bondarenko I.V., Bondarenko V.A., Andreev E.V.

Журнал: Московский хирургический журнал @mossj

Рубрика: Общие вопросы

Статья в выпуске: 1 (71), 2020 года.

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Based on the data analysis performed on 401 patients treated at the municipal budgetary institutions Health «City Emergency Hospital», of Rostov-on-Don city, from 2014 to 2018. The validity of the possible predictors of recurrence of gastrointestinal bleeding was determined. Inclusion criteria were: Diagnosis of ICD 10: K 25.0. K 25.4, K 26.0, K 26.4, informed consent of the patient. Exclusion criterion: gastrointestinal bleeding due to portal hypertension, Mallory-Weiss syndrome, and symptomatic ulcers. The patients were divided into groups: Group 1: No bleeding recurrence 87,53 % (351). Group 2: Recurrent bleeding 12,47 % (50). What are established as predictors of recurrence of gastrointestinal bleeding are: severe bleeding, and bleeding Forrest 1a. To these patients with ineffective endoscopy, emergency surgical treatment is indicated. Predictors of moderate prognostic signifi ance of recurrent bleeding include comorbidity, anamnesis, Rockall score ≥ 8 points, systolic blood pressure ≤ 100 мм рт...

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Acute nonvariceal upper gastrointestinal bleeding, death rate, prognosis, recurrence, risk factors

Короткий адрес: https://sciup.org/142224477

IDR: 142224477   |   DOI: 10.17238/issn2072-3180.2020.1.78-87

Статья научная