Khirurgiia · 2016
[Endovascular arterial embolization for duodenal bleeding as an alternative to surgical approach].
Аннотация на английскомСтатьяНазвание и аннотация: Оригинал на русском
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Bagdasarov V V, Bagdasarova E A, Chernookov A I, Ataian A A, Karchevskiĭ E V, V D
Аннотация
AIM: To present possibilities of transcatheter arterial embolization (TAE) in duodenal bleeding management.
MATERIAL AND METHODS: Treatment of 212 patients with acute duodenal bleeding for the period from 2012 to 2014 was analyzed. In 32 (22.5%) patients of the study group bleeding recurrence or its high risk was indication for TAE.
RESULTS: Change of surgical tactics for bleeding from upper gastrointestinal tract including endoscopic hemostasis optimization, wide introduction of TAE and sharp decrease of surgical activity reduced overall mortality to 1.6% in 2012--2014.
CONCLUSION: TAE is effective to control bleeding and reduces mortality rate especially in high risk and elderly patients.
MATERIAL AND METHODS: Treatment of 212 patients with acute duodenal bleeding for the period from 2012 to 2014 was analyzed. In 32 (22.5%) patients of the study group bleeding recurrence or its high risk was indication for TAE.
RESULTS: Change of surgical tactics for bleeding from upper gastrointestinal tract including endoscopic hemostasis optimization, wide introduction of TAE and sharp decrease of surgical activity reduced overall mortality to 1.6% in 2012--2014.
CONCLUSION: TAE is effective to control bleeding and reduces mortality rate especially in high risk and elderly patients.