Importance of the topic. Bleeding from ulcers of the gastroduodenal zone has been a very urgent problem in surgery for many years. According to a number of authors, the mortality rate is up to 30–40% with their relapse. Aim of the study is to create a prognostic scale for assessing the risk of relapse of ulcerative gastroduodenal bleeding. Materials and methods. The work is based on a retrospective analysis of 520 case histories of patients treated at the Berezov City Clinical Hospital No. 7, the basis of the Department of Faculty Surgery of the «Privolzhsky Research Medical University», regarding ulcerative gastroduodenal bleeding during 2010-2017. A comparative analysis of two groups of patients (depending on the occurrence or absence of relapse) is made in the SPSS-2.0 program using a logistic regression method in order to identify a combination of factors influencing the prognosis of the disease. Results and their discussion. Such factors like the patient's age, the size of the ulcer, the use of combined endoscopic hemostasis, the intensity of bleeding at the time of an emergency EGD, the localization of the ulcer defect have a significant impact on the risk of recurrence. Basing to obtained data, we have developed a scale for assessing the risk of recurrence of ulcerative gastroduodenal bleeding. Conclusion. The presented method allows to attribute a patient to one or another risk group and it helps to choose the optimal treatment tactics in a short period of time.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
334 Leonard St
Brooklyn, NY 11211
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.