Diagnostic and therapeutic possibilities of balloon-assisted enetroscopy in clinical practice

A. T. Kortieva, V. S. Krushelnitskiy, S. A. Gabriel, V. Dynko, A. Y. Guchetl
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Abstract

The aim. To evaluate the effectiveness of endoscopic techniques for gastrointestinal bleeding of unknown origin in the conditions of GBUZ “KKB No. 2” and to determine the most effective therapeutic tactics. Materials and methods. The basis for our study was the analysis of the results of treatment of 47 patients with suspected small intestine bleeding in the period 2018-2023 in the State Medical Institution “KKB No. 2” of the city of Krasnodar. The study group was dominated by men -25 patients (53%) compared with women - 27 patients (47%). The age of the patients ranged from 18 to 89 years. VCE was performed in 16 patients. In controversial and unconvincing cases, BAE-14 patients were performed. A comprehensive examination of VCE + BAE was performed in 17 patients. Results: The most rational method of endoscopic hemostasis in small intestine bleeding, according to our observation, is endoscopic clipping in combination with conservative therapy. Results. According to our observation, the most rational method of endoscopic hemostasis in small intestinal bleeding is endoscopic clipping in combination with conservative therapy. Conclusion. The capabilities of clinicians in the differential diagnosis of pathological conditions of the small intestine are enhanced by the availability of modern equipment in medical and preventive institutions, as well as to perform minimally invasive treatment, reducing the rehabilitation time due to the reduction of surgical trauma.
球囊辅助内窥镜在临床实践中的诊断和治疗可能性
目的评估在 "KKB 2 号 "GBUZ 条件下采用内窥镜技术治疗不明原因消化道出血的效果,并确定最有效的治疗策略。材料和方法。我们研究的基础是对克拉斯诺达尔市 "KKB 2号 "国立医疗机构2018-2023年间47名疑似小肠出血患者的治疗结果进行分析。研究对象以男性为主--25 名患者(占 53%),女性为 27 名患者(占 47%)。患者年龄从 18 岁到 89 岁不等。16名患者进行了VCE检查。在有争议和难以令人信服的病例中,14 名患者接受了 BAE 检查。17名患者进行了VCE+BAE综合检查。结果:根据我们的观察,小肠出血时最合理的内镜止血方法是内镜下剪切术结合保守疗法。结果根据我们的观察,小肠出血最合理的内镜止血方法是内镜下剪切术结合保守疗法。结论由于医疗和预防机构拥有现代化设备,临床医生鉴别诊断小肠病变的能力得到了提高,同时还能进行微创治疗,减少了手术创伤,缩短了康复时间。
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