Diagnosis and treatment of patients with recurrent gastroduodenal bleeding - Shaprynskyi V.O. 2009



Introduction

Anatomical, topographical, and clinical features of the stomach and duodenum

Historical aspects of the diagnosis and treatment of patients with recurrent gastroduodenal hemorrhage of peptic ulcer etiology

Morphological features of the gastric and duodenal mucosa in patients with peptic ulcer disease complicated by acute recurrent gastrointestinal hemorrhage

Pathogenesis of recurrent gastroduodenal hemorrhage in patients with peptic ulcer disease

Pathogenesis of acute blood loss. Classification of hemorrhagic shock, diagnosis of hypovolemia and assessment of blood loss volume

Predicting the recurrence of bleeding of ulcer etiology

Clinical characteristics of syndromes associated with acute gastrointestinal hemorrhage

Clinical presentation of acute recurrent gastroduodenal hemorrhage

Clinical characteristics of syndromes associated with acute gastrointestinal bleeding

Patient examination protocol

Assessment of comorbidities in patients with gastrointestinal bleeding

General principles of treatment for recurrent gastroduodenal hemorrhage

Treatment algorithm for patients with gastroduodenal hemorrhage of ulcer etiology

General principles of managing recurrent gastroduodenal hemorrhage

Conservative hemostatic and antisecretory therapy

General principles of management of recurrent gastroduodenal bleeding

Infusion and transfusion therapy, characteristics of the main preparations

Approaches to endoscopic diagnosis of the bleeding source and the capabilities of endoscopic hemostasis

Surgical treatment of recurrent ulcerative gastroduodenal hemorrhage

Surgical strategy and indications for various types of surgical interventions

Surgical treatment of recurrent bleeding gastroduodenal ulcers

Types of pyloroduodenoplasty for acutely bleeding duodenal ulcers

Surgical treatment of recurrent ulcerative gastroduodenal hemorrhage

Vagotomy options for recurrent bleeding duodenal ulcers

Surgical treatment of recurrent gastroduodenal ulcer bleeding

Options for gastric resection in recurrent gastric and duodenal ulcers

Outcomes of surgical treatment in patients with recurrent gastroduodenal hemorrhage

Conclusions

References