Pyatnychka O. Features of surgical tactics of patients with gastritis complicated by bleeding

Near results of surgical treatment of 189 patients with a researched pathology are analyzed. On the basis of application of immunomorfological criteria of diagnostics of a degree of heaviness of the local immune bias of a stomach mucous membrane, danger of spontaneous renewal of a bleeding and frequency of occurrence of postoperative complications, the algorithm of a choice of volume and terms of operation in conditions of a gastritis complicated by a bleeding is developed. To stop the bleedings which lasts and to delay bleeding relapse also is offered "А way of treatment of a bleeding gastritis". Applications of the offered diagnostic-treatment program with endoscopy technologies in the complex approach to a choice of term and a volume of operation has allowed to decrease operative activity in 1,8 times (with 16,0 to 8,9 %), the amount of postoperative complications - from 81,3 % down to 37,5 %, postoperative mortality - from 23,1 % down to 9,1 %, with conservative treatment amount of death has decreased - from 2,3 % to 0, and death rate at a researched pathology - from 5,0 % down to 1,1 % due to reduction of frequency of recurrent bleedings from 15,0 % down to 7,8 % and, as consequence, part of "operations of despair", executed at height 2-3 relapses of a bleeding.