ИННОВАЦИОННЫЙ ПОДХОД К ЛЕЧЕНИЮ ЯЗВЕННОЙ БОЛЕЗНИ ЖЕЛУДКА И ДВЕНАДЦАТИ ПЕРСТНОЙ КИШКИ И ЕЕ ОСЛОЖНЕНИЙ

Abstract

Objective: To increase the efficiency of diagnosing acute gastric ulcers and predict the risk of rebleeding by study ing the endoscopic, anatomical features and pathomorphological characteristics of tissues in the area of a bleeding gastric ulcer. Material and methods: 298 patients with bleeding from acute gastric ulcers were under observation, who were treated in the department of emergency surgery of the multidisciplinary clinic of the Tashkent Medical Academy in 2012-2022. Results: Most often recurrent bleeding is observed in acute gastric ulcers located along the lesser curvature in the area of the angle of the stomach, along the posterior surface of the body and the antrum of the stomach. The reasons for this circumstance are the insufficiency of endoscopic visualization of the source of bleeding from acute ulcers located along the posterior wall of the cardiac section and the body of the stomach and endoscopic methods of hemostasis, especially with continued bleeding and the presence of blood clots in the lumen of the stom ach, as well as a deeper spread of acute ulcers of the lesser curvature of the stomach in the underlying layers due to increased trauma. Conclusions: When choosing the volume of surgical intervention and an effective method of he mostasis in case of bleeding from an acute gastric ulcer, it is necessary to assess the risk of bleeding depending on the location, area and depth of the ulcer