Оценка выбора метода гемостаза и прогнозирование риска рецидива кровотечения из гастродуоденальных язв

In communication is carried out the analysis 4809 cases of bleeding from gastro duodenal ulcers for 5 years old. The assessment of the types of bleeding was endoscope. Is detected Forrest-la 3,8%, Forrest-lb 8,9%, Forrest-IIa 13,4%, Forrest-IIb 33,7%, Forrest He-III 40,2%, these types of bleeding were basic for the forecast of the risk of subsequent bleeding, were taken into account and clinical risk factors. In treatment were used drugs and endoscopic methods of the halt of bleeding. In using of only conservative treatment died 29 patients elder 80 years old. Mortality composed 0,7%. 379 patients with the high risk of subsequent bleeding were operated. Were applied retaining organ operations and resection of the stomach. Mortality after operation composed 14,8%. The results of applying resection of the stomach were bad, mortality after operation composed 25,6%. Is infered about the necessity of the individual choice of the method of operation in gastroduodenal bleeding ulcers of and the individual forecast of subsequent bleeding in conservative treatment.