Articolul precedent |
Articolul urmator |
366 1 |
Ultima descărcare din IBN: 2021-05-06 07:21 |
SM ISO690:2012 KHALAILY, Ahmad Ali, MALCOVA, Tatiana, ŞOR, Elina. Hemostaza endoscopică prin metoda mecanică în managementul leziunii dieulafoy. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 380. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 380-380 | ||||||
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Rezumat | ||||||
Background. According to the latest statistics, Dieulafoy’s lesion(DL) is responsible for up to 5% of acute gastro-intestinal (GI) bleeds. Unfortunatelly, there is no consensus on the optimal therapeutic option now. Even endoscopic management is considered effective tactics, the best method is still unclear. Objective of the study. To offer an overview of current data on available endoscopic techniques used for patients with GI bleeding resulting from DL. Material and Methods. The articles published during the years 2015-2020 from the PubMed database were selected according to the following keywords: “Dieulafoy’s lesion”, “Endoscopic hemostasis”, “Mechanical hemostatic techniques”, “Endoscopic band ligation”, “Endoscopic hemoclipping”. Results. Each endoscopic method has both advantages and disadvantages, however, mechanical therapies including endoscopic hemostatic clipping and band ligation (EBL) are considered to be the first option in the control bleeding from DL with a success rate of about 90%. In addition, studies show that patients treated with clipping and EBL have lower potential of recurrent bleeding with a lower mortality rate and excellent long-term results. Conclusion. Mechanical hemostatic therapy demonstrated good clinical outcomes compared with other endoscopic techniques and is recommended as effective option in patients with DL. |
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Cuvinte-cheie Dieulafoy’s lesion, band ligation, endoscopic clipping, leziunea Dieulafoy, bandarea endoscopică, clamparea endoscopică |
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