Our experience with esophagogastric hemorrhages
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616.329-002.44-005.1 (2)
Patologia sistemului digestiv. Tulburări ale tubului alimentar (1732)
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DANU, M., TSYBIRNE, Constantin, STAVINSKI, R., NAMAŞCO, N.. Experienţa noastra privind hemoragiile eso-gastrice. In: The Medical-Surgical Journal, 1990, vol. 94, pp. 259-264. ISSN 0048-7848.
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The Medical-Surgical Journal
Volumul 94 / 1990 / ISSN 0048-7848 /ISSNe 2286-2560

Our experience with esophagogastric hemorrhages

Experienţa noastra privind hemoragiile eso-gastrice

CZU: 616.329-002.44-005.1

Pag. 259-264

Danu M., Tsybirne Constantin, Stavinski R., Namaşco N.
 
”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
 
Disponibil în IBN: 9 august 2023


Rezumat

A study was made of 129 cases of upper digestive hemorrhage in patients with portal hypertension admitted at the Surgical Clinic of the Institute of Medicine of Chişinau. About 30% of the patients were late admitted, this delay being due to a misjudgment of patients' state and unawareness of the possibility a new and fatal hemorrhage may occur. A change in Blakemore tube design was done. Its use together with the routine hemostatic therapy resulted in hemostasis and discharge of 42% of the admitted patients. When conservative treatment failed and a recurrence of hemorrhage was imminent, emergency surgery was performed. The Tanner-Petrov surgery, splenorenal anastomosis and various types of organopexy combined with splenectomy proved to be the most successful. General lethality in the patients subjected to these surgeries was 6.2%, a smaller figure than that mentioned in the literature.

Cuvinte-cheie
MeSH Emergencies, Esophageal and Gastric Varices, esophagus, gastrointestinal hemorrhage, Hemostatic Techniques, Humans, hypertension, portal, intubation, gastrointestinal, recurrence, Stomach EMTREE medical terms article, digestive tract intubation, emergency, esophagus, esophagus varices, gastrointestinal hemorrhage, hemostasis, human, Instrumentation, methodology, portal hypertension, recurrent disease, stomach