MINIMALLY INVASIVE TREATMENT OF BLEEDING GASTRIC AND DUODENAL ULCER

Abstract

Introduction. Complications of gastric and duodenal ulcers include perforation, penetration, malignancy, stenosis, and bleeding, which are life-threatening [1]. Ulcerative bleeding can be controlled endoscopically, which involves coagulation, injection of vasoconstrictor agents, cauterization with viscous fluids, and vessel clipping [2]. However, not all ulcer bleeding can be controlled endoscopically; in case of failure, endovascular or traditional surgical tactics should be used to control bleeding [3]. The development of laparoscopic technologies has also not bypassed the complications of peptic ulcer disease. Ulcer bleeding is associated with increased mortality due to the rapid development of hemorrhagic shock, the use of laparoscopic intervention may be associated with a decrease in mortality and postoperative complications [4,5]. Also important is the issue of preventing future ulcers among patients who do not follow the recommendations for taking proton pump inhibitors [6,7].

References

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