Efficacy of intravascular embolization in profuse hemorrhage from complicated duodenal ulcers

Keywords: the ulcer disease; penetration of ulcer; erosive hemorrhage; endoscopic hemostasis; suturing of ulcer; embolization of vessels.

Abstract

Objective. To estimate the efficacy of intravascular embolization in profuse hemorrhage from complicated duodenal ulcers.

Materials and methods. Into the investigation 80 patients were included, operated for the profuse hemorrhage complication of duodenal ulcers, penetrating into pancreatic head. The patients were distributed into two groups: the control - 40 patients, in whom the standard methods of the hemorrhage arrest were applied, and the main - 40 patients, in whom the method elaborated was used.

Results. In the main group in postoperative period the complications have had occur in 1 (2.5±0.2%) patients (p<0.001) only - the duodenal fistula development. There was verified, that the best results of hemostasis in hemorrhage from penetrating duodenal ulcers were obtained in the patients of the main group, in whom іntraoperative endovascular arrest of the hemorrhage together with the ulcer suturing was applied, because in 100% of patients of this group the definite hemostasis was achieved.

Conclusion. The proposed method of intraoperative endovascular arrest of hemorrhage from penetrating duodenal ulcer guarantees a qualitative hemostasis, lowers the rate of the hemorrhage early recurrence and the need for relaparotomy performance, and raises the surgical treatment quality.

Author Biographies

D. V. Maksymchuk, Shupyk National Healthcare Universityof Ukraine, Kyiv

D. V. Maksymchuk, Shupyk National Medical Academy of Postgraduate Education, Kyiv
Maksymchuk Dmytro Volodymyrovich, MD, surgeon, postgraduate student
Department of Surgery and Proctology
Shupyk National Medical Academy of Postgraduate Education, Kyiv
Kiev, 11, Vidpochinku, str.
+380661403357,
mdv128@ukr.net
https://orcid.org/0000-0002-8385-6183

V. І. Mamchich, Shupyk National Healthcare Universityof Ukraine, Kyiv

V. I. Mamchich, Shupyk National Medical Academy of Postgraduate Education, Kyiv
Mamchich Volodymyr Ivanovich, MD, DSci(Med), Professor
Department of Surgery and Proctology
Shupyk National Medical Academy of Postgraduate Education, Kyiv
Kiev, 11, Vidpochinku, str.
(044) 424-98-27,
surgeryproctology@ukr.net
https://orcid.org/0000-0001-7656-6383

V. D. Maksymchuk, Chornobayiv Multidisciplinary Hospital

V. D. Maksymchuk, Chornobayiv Muldi-Profile Hospital
Maksymchuk Volodymyr Dmitrovich, MD, surgeon
Head of the surgical department
Chornobayev Multidisciplinary Hospital, Cherkasy region, Chornobaivskyi district
19900 Cherkasy region, Chornobay, 5, Chaikovsky str.
+380661649038,
maksimchukvd@ukr.net
https://orcid.org/0000-0001-9531-0711

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Maksimchuk DV, Maksimchuk VD, vynakhidnyky; Maksimchuk DV, Maksimchuk VD, patentovlasnyk. Method of intraoperative temporary stopping of profusive bleeding at penetring duodenal ulcer. Patent Ukraine No 123081. 2021 Feb 10. Ukrainian.

Published
2021-10-28
How to Cite
Maksymchuk, D. V., MamchichV. І., & Maksymchuk, V. D. (2021). Efficacy of intravascular embolization in profuse hemorrhage from complicated duodenal ulcers. Klinicheskaia Khirurgiia, 88(5-6), 12-17. https://doi.org/10.26779/2522-1396.2021.5-6.12
Section
General Problems of Surgery