Прогнозирование риска рецидива кровотечений из верхних отделов желудочно-кишечного тракта на современном этапе

Research objective — improved results of treatment of patients with acute bleeding from the upper gastrointestinal tract by improving the methods of endoscopic hemostasis and predict the risk of recurrence. Material and methods. Results of treatment of 776 patients with acute bleeding from the upper gastrointestinal tract. Comparison group consisted of 499 patients who used traditional methods of research and treatment (2000—2007). The study group included 277 patients who had been used we have developed a diagnostic and treatment algorithm (2008—2010). Results and discussion. Demonstrated that the differentiated approach to tactics of maintaining patients with upper gastrointestinal bleedings influences to results. Forecast rebleeding with the major risk factors is the fundamental criterion in the management of patients with bleeding from the upper gastrointestinal tract. Conclusion. Shoved the necessity of the differentiated approach to endoscopic hemostasis depending on characteristics of a bleeding point, its intensity and efficiency in proceeding bleedings.