Endoscopic hemostasis in the ulcer gastro-duodenal hemorrhage, using high-frequency biological welding electro-ligature

Keywords: the ulcer gastro-duodenal hemorrhage; endoscopic probe; endoscopic hemostasis; high-frequency biological welding electro-ligature; argon-plasm coagulation.

Abstract

Objective. To improve the efficacy of endoscopic hemostasis for the ulcer gastro-duodenal hemorrhage, using high-frequency biological welding electro-ligature.

Materials and methods. In 2017-2020 yrs period the analysis of efficacy of endoscopic hemostasis was done in 160 patients, ageing 40-85 yrs old, for the ulcer gastro-duodenal hemorrhage. The patients were distributed into two groups: the main - 80 patients, in whom high-frequency biological welding electro-ligature was performed, and a control one - 80 patients, in whom monopolar thermal argon-plasm coagulation was conducted.

Results. In the main Group a primary hemostasis was achieved in 77 (96.3%) patients. Early recurrence of hemorrhage have occurred in 3 (3.8%) patients. In a control Group a primary hemostasis was achieved in 66 (82.5%) patients. Recurrence of the hemorrhage have occurred in 14 (17.5%) patients.

Conclusion. Endoscopic hemostasis for the ulcer gastro-duodenal hemorrhage, using high-frequency biological welding electro-ligature, is achieved due to the impedance action of modulated signal of a high-frequency current as well as the adaptive system of automatic guidance of the welding process and a contact between special endoscopic probe, owing a concave electrode, with bleeding vessel, leading to its complete obliteration. Application of welding electro-ligature for endoscopic hemostasis in the ulcer gastro-duodenal hemorrhage, using high-frequency biological welding electro-ligature, guarantees more secure residual hemostasis, than application of monopolar thermal argon-plasm coagulation, peculiarly in hemorrhage from vessels owing 2 - 4 mm diameter. As a result, the hemorrhage recurrence rate have had reduced down to 3.8% (in the control Group - 18.0%).

Author Biographies

Ya. P. Feleshtynskyi, Shupyk National Medical Academy of Postgraduate Education, Kyiv

Feleshtynskyi Yaroslav, MD, DSci(Med), Professor,
Head of the Department of Surgery and Proctology
Shupyk National Medical Academy of Postgraduate Education
9 Dorohozhytska Str., Kyiv, 04112 Ukraine
feleshtynsky@yahoo.com
https://orcid.org/0000-0003-4376-4265

S. O. Oparin, Kyiv Regional Clinical Hospital

Oparin Sergiy Oleksandrovich, MD, Surgeon,
Head of operation department,
Kyiv Regional Clinical Hospital;
1 Baggovutivska str., Kyiv, Ukraine.
+38(050) 952 46 51;
soparin7@gmail.com
https://orcid.org/0000-0003-1504-9678

B. V. Sorokin, Shupyk National Medical Academy of Postgraduate Education, Kyiv

Sorokin Bogdan Viktorovich, , MD, DSci(Med) Professor,
oncology department
Shupyk National Medical Academy of Postgraduate Education
9 Dorohozhytska Str., Kyiv, 04112 Ukraine
+38 (067) 982-49-47,
https://orcid.org/mcdnlp@rambler.ru
https://orcid.org/0000-0003-0511-7550

M. G. Boiarska, Kyiv Municipal Clinical Hospital No 12

Boiarska Margarita Georgievna, MD, PhD(Med)
Head of endoscopic department
Kyiv city clinical hospital 12.
+380971237729,
m.boiarskaia@gmail.com
https://orcid.org/0000-0002-6853-5533

D. V. Lutsenko, Kyiv Regional Clinical Hospital

Lutsenko Dmytro Volodimirovich, MD,
Kyiv Regional Clinical Hospital;
1 Baggovutivska str., Kyiv, Ukraine.
+38(063) 271-71-04,
lutsdv@gmail.com
https://orcid.org/0000-0002-0453-7441

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Published
2020-10-29
How to Cite
Feleshtynskyi, Y. P., Oparin, S. O., Sorokin, B. V., Boiarska, M. G., & Lutsenko, D. V. (2020). Endoscopic hemostasis in the ulcer gastro-duodenal hemorrhage, using high-frequency biological welding electro-ligature. Klinicheskaia Khirurgiia, 87(9-10), 14-17. https://doi.org/10.26779/2522-1396.2020.9-10.14
Section
General Problems of Surgery