Necessity of surgical intervention
after failed endoscopic therapy of bleeding in upper
part of gastrointestinal tract
Chudý J., Keil R., Burešová M., Drábek J., Hrdlička L., Šťovíček J., Tyburec J.
Interní klinika FN Motol, Praha Endoskopické centrum Přednosta: Prof. MUDr. M. Kvapil, CSc., MBA |
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Summary:
In our retrospective study we evaluate a success of
endoscopic therapy of nonvariceal bleeding in upper
part of gastrointestinal tract. We aim at causes of its failure,
necessity of subsequent surgical intervention and its
success. Success of haemostasis of bleeding in upper
part of gastrointestinal tract is more than 98 % in our
department. It correlates well with other published studies
in the world. The most usual cause of endoscopic
failure was an ulcer with bleeding vessel, Forrest IA in
30 cases. Patient’s mortality with failed endoscopic treatment
was high (17 %) despite the surgical treatment. It
depends on the one hand on cause of bleeding, on the
other hand on complicated patient’s comorbiditi’s.
Key words:
bleeding, endoscopy, nonsuccesful haemostasis,
surgical solution.
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