Obleshchuk U. Capsule endoscopy for small bowel bleeding and substantiation of treatment tactics

The dissertation is devoted to the actual problem of improving the results of diagnostics and treatment of small bowel bleeding by substantiating, developing and implementing a therapeutic and therapeutic algorithm. The analysis of the results of diagnosis and treatment of 194 patients with small bowel bleeding was carried out. The average age of the patients was 45.3 ± 1.3 years, there were 126 men (65 %), women – 68 (35 %). The main group consisted of 98 patients, for the period from May 2013 to December 2019 and how the diagnostics and treatment were carried out according to the developed diagnostic therapeutic method, which included capsule endoscopy and double–ball enteroscopy. The comparison group consisted of 96 patients, for the period from April 2000 to December 2013 and how diagnostics and treatment were carried out according to the traditional scheme, which included esophagogastroduodenoscopy, video colonoscopy, contrast radiography of the small intestine, hemostatic and infusion therapy. It has been proved that the use of the developed therapeutic and therapeutic algorithm for small bowel bleeding has little significant advantages compared to traditional methods, namely: the source of bleeding in the study group was revealed in 92.8 % of patients versus 57.3 % in the comparison group, the absence of diagnostic laparotomies in the main group. group versus 4.2 % in the comparison group, conservative therapy was effective in 41.8 % of patients in the main group and in 76 (79.1 %) in the comparison group, endoscopic hemostasis was performed in 58.2 % of patients in the main group, and in the group comparison – in 9.3 %, endoscopic submucosal resections in the main group were performed in 4.01 %, and in the comparison group – 4.1 %, resection of the small intestine in the main group was performed in 12.2 % of patients, while in the comparison group – 4 (4.2 %) decrease in the frequency of recurrent bleeding to 8.1 % versus 39.6 % in the comparison group, mortality from 12.5 % to 1.02 %.