RARE CASE OF BLEEDING FROM ACUTE ULCERS OF THE SMALL INTESTINAL STUMP
Abstract
The diagnosis and management of gastrointestinal bleeding from unknown sources is one of the most difficult problems in emergency surgery as it is associated with a high level of morbidity and mortality, which may reach 80%. Available methods of endoscopic diagnostic in 10-15% cases of these disease don’t identify the source of bleeding. We report the clinical observation of a patient with intestinal bleeding of a high severity from acute ulcers of small intestinal stump.
About the Authors
V. P. Zemlyanoy
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
St.-Petersburg
Russian Federation
St.-Petersburg
S. E. Klimov
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
St.-Petersburg
Russian Federation
St.-Petersburg
B. V. Sigua
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Russian Federation
Dr. Med. Sci., Docent, Associate Professor of the Department of Faculty Surgery n.a. I.I. Grekov,
St.-Petersburg
A. A. Kozobin
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
St.-Petersburg
Russian Federation
St.-Petersburg
M. G. Kozlovskaya
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
St.-Petersburg
Russian Federation
St.-Petersburg
References
1. Ivanova E.V. Modern methods of enteroscopy in the diagnosis and treatment of diseases of the jejunum and ileum. Dr. med. sci. diss. Moscow, 2013. 243 p. (In Russian).
2. Malkov I.S. Selected sections of emergency abdominal surgery. Kazan: Izdvo KGTU Publ., 2013. 405 p. (In Russian).
3. Parfenov A.I. Enterology. 2nd ed., rev. and enl. Moscow: MIA Publ., 2009. 880p. (In Russian).
4. Shelygin Yu.A., Achkasov S.I., Brekhov E.I., et al. Clinical guidelines for the diagnosis and treatment of adult patients for angiodysplasia of the intestine. Moscow, 2013. 13p. (In Russian).
5. Assche G., Dignass A., Panes J. The second European evidence-based consensus on the diagnosis and management of Crohn’s disease: definitions and diagnosis. J Crohn’s Colitis. 2010;4(1):7–27.
6. Bollinger E., Raines D., Saitta P. Distribution of bleeding gastrointestinal angioectasias in a Western population. World J Gastroenterol. 2012;18(43):6235–6239.
7. Plechev V.V., Timerbulatov V.M., Shilov I.S., et al. New method of formation of interintestinal anastomosis. Kreativnaya khirurgiya i onkologiya. 2011;1:69–74. (In Russian).
8. Gusev O.A., Galkin R.A., Kolinichenko O.A. Precision formation of anastomoses during operations on the stomach and intestines. Khirurgiya. 1997;8:37–39. (In Russian).
9. Alexander J.A., Leighton J.A. Capsule endoscopy and balloonassisted endoscopy: competing or complementary technologies in the evaluation of small bowel disease? Curr Opin Gastroenterol. 2009;25:433–437.
10. Gayer C., Chino А., Lucas С., et al. Acute lower gastrointestinal bleeding in 1, 112 patients admitted to an urban emergency medical center. Surgery. 2009;146(4):600–606.
Review
For citations:
Zemlyanoy V.P., Klimov S.E., Sigua B.V., Kozobin A.A., Kozlovskaya M.G. RARE CASE OF BLEEDING FROM ACUTE ULCERS OF THE SMALL INTESTINAL STUMP. Russian Sklifosovsky Journal "Emergency Medical Care". 2016;(4):84-86. (In Russ.)
Views:
734
Email this article 