MINIMALLY INVASIVE TECHNOLOGIES FOR GASTRODUODENAL HEMORRHAGE TREATMENT
This article analyzes the treatment of 1205 patients with gastroduodenal ulcer hemorrhage (61% of the patients had a duodenal ulcer and 39% - a stomach ulcer), who were admitted to hospital between 2003 and 2012. The article describes the examination and treatment protocols for gastroin- testinal hemorrhage of ulcer genesis, based on the predominant use of endoscopic and endovascular hemostasis techniques. The possibilities of endoscopic technologies use and their effectiveness in the treatment of a bleeding ulcer, regardless of the rate according to the Forrest Classification are also demonstrated. There were proved the pH-dependence of the hemostasis effectiveness, inappropriate use of H2-blockers as the antisecretory drugs. The introduced approach demonstrated the overall mortality rate reduction in this group of patients to 2,1%.