[Prophylaxis and treatment of bleedings from symptomatic gastroduodenal ulcers].

The work deals with problems of prophylactics and treatment of patients with symptomatic gastroduodenal ulcers complicated by bleedings. In somatically critical patients the main disease in 14% of cases is complicated by the appearance of symptomatic gastroduodenal ulcer which in its turn results in bleedings or perforation in 50% of cases. H. pylori is of no leading significance in formation of acute gastroduodenal ulcers. The only indication to surgery in patients with bleedings from acute ulcers is persistent bleeding which can not be arrested by the method of endoscopic hemostasis or a recurrent bleeding in patients with the state of severity not less that 30 scores by the SAPS II scale.