Erosive canker of stomach mucous membrane and duodenum of patients with intrahepatic portal hypertension
The article is devoted to one of the most actual issues of urgent surgery - treatment of ulcer bleeding of patients with intrahepatic portal hypertension. The results of treatment of 75 (23 %) patients with bleeding from erosive cankers in gastric mucosa and duodenal ulcers among patients with esophagus and stomach varicose veins were analyzed. The effectiveness of minimally invasive endoscopic techniques of hemostasis in treatment the given category of patients was evaluated. The opportunities of endoscopic hemostasis at helcoid and variceal bleeding are shown. Patients treatment tactics with pointed bleedings adopted in clinic are presented. The frequency of erosive canker of gastric mucosa and duodenal ulcers among patients with bleeding on the background of intrahepatic portal hypertension and protuberant varicosities of esophagus and stomach composed 23 %. Clinical diagnosis of gastroduodenal erosions and ulcers of patients with varicose veins in esophagus and stomach as sources of bleeding is quite hampered due to the absence of pathognomonic symptoms and medical history data. But through fibrogastrocopy the bleeding source was detected in all patients. The patients treatment tactics choice depends not only on the intensity of bleeding, patient’s condition, but also on the presence of one or more (combined) sources hemorrhage. Endoscopic hemostasis is a method of treatment choice for such patients.