SYNDROME OF ACUTA LESION OF THE STOMACH OF PATIENTS WITH CRITICAL ISCHEMIA OF THE LOWER EXTREMITIES
Objective: To improve the results of treatment of patients with critical lower limb ischemia by optimizing forecasting, prevention and drug therapy syndrome of acute gastric lesions. In the work included analysis of 186 patients. Of all patients treated 128 patients with critical limb ischemia made the comparison group, inclusion criterion which is that patients do not carry out prevention of stress ulcers. In the study group included 58 patients who underwent the prevention of erosive and ulcerative lesions of the stomach, including the use of a proton pump inhibitor "omeprazole" at a dosage of 40 mg 1 time a day. The study revealed that 53 % of patients with critical lower limb ischemia detected syndrome of acute gastric lesions in the postoperative period (14.1 %, 48.4 % erosion), of which 62.5 % of the patients did not receive prophylactic treatment erozivno- ulcerative lesions, and 33 % receive preventive treatment for the syndrome of acute gastric lesions (p <0.001). The risk of developing the syndrome of acute gastric lesions in patients with ankle-brachial index of less than 0.4 is 1,882, and in patients with stenosis of the abdominal aorta from 40 % to 60 % relative risk of 14.8. Optimization syndrome prevention of acute gastric lesions in patients with critical lower limb ischemia reduces the absolute risk of erosive and ulcerative lesions in the upper gastrointestinal tract by 25.1 % and allows you to get the effect of treatment every third patient in the postoperative period.