Modern possibilities of prevention of gastrointestinal bleeding in patients with gastric and duodenal stress ulcers

Abstract

The article discusses the prevention of gastrointestinal bleeding in critically ill patients who are hospitalized in intensive care units (ICU). The main factors contributing to the occurrence of GIB in such patients are considered. The leading place among them is occupied by a stay on artificial ventilation of the lungs for > 48 hours and blood coagulopathy. Patients at high risk of developing GIB need prophylactic administration of proton pump inhibitors, H 2 -blockers, sucralfate, which allows to prevent the occurrence of GIB and improve the prognosis of patients.