Short-term results of treatment of non-epithelial gastro-intestinal tumors complicated by bleeding
Aim of investigation. To study potentials of modern therapeutic and diagnostic methods in patients with bleeding non-epithelial tumors of the gut.Material and methods. In 52 patients for assessment of localization, structure and character of proliferation of tumor modern radiological and endoscopic...
Saved in:
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | Russian |
Published: |
Gastro LLC
2011-09-01
|
Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
Subjects: | |
Online Access: | https://www.gastro-j.ru/jour/article/view/1448 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
_version_ | 1823860239713173504 |
---|---|
author | S. G. Shapovalyants A. I. Mikhalev Ye. D. Fedorov R. V. Plakhov L. M. Mikhaleva Z. V. Galkova Ye. V. Ivanova A. E. Sergeyenko |
author_facet | S. G. Shapovalyants A. I. Mikhalev Ye. D. Fedorov R. V. Plakhov L. M. Mikhaleva Z. V. Galkova Ye. V. Ivanova A. E. Sergeyenko |
author_sort | S. G. Shapovalyants |
collection | DOAJ |
description | Aim of investigation. To study potentials of modern therapeutic and diagnostic methods in patients with bleeding non-epithelial tumors of the gut.Material and methods. In 52 patients for assessment of localization, structure and character of proliferation of tumor modern radiological and endoscopic methods were applied: balloon and videocapsular endoscopy, selective angiography, computer tomography, endoscopic ultrasonography with fine-needle biopsy.Results. According to suggested diagnostic algorithm detailed characteristic of patients with bleeding tumor was given, the optimal method of surgical intervention was chosen. In 13 (25%) of patients primary endoscopic hemostasis was carried out. Thirty five patients were operated (67,3%), and in 8 (22,8%) of them endoscopic erasion of bleeding non-epithelial tumor was carried out. In 4 cases (7,7%) intraoperative complications developed, after operation 1 patient (2,9%) died of pulmonary artery thrombembolism, overall mortality was 3,8% (2/52).Conclusions. Non-epithelial tumor of gut in 29,1% of patients are complicated by gastro-intestinal bleeding that is indication for surgical treatment. Proposed algorithm of diagnostics and treatment, that includes primary endoscopic hemostasis allows to avoid urgent intervention in 94,3% of patients and to execute it in the late stage, while in 22,8% to carry out noninvasive intraluminal surgery as a final treatment. |
format | Article |
id | doaj-art-e0eecaf26d244efabe46e42a49046bc0 |
institution | Kabale University |
issn | 1382-4376 2658-6673 |
language | Russian |
publishDate | 2011-09-01 |
publisher | Gastro LLC |
record_format | Article |
series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
spelling | doaj-art-e0eecaf26d244efabe46e42a49046bc02025-02-10T16:14:31ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732011-09-012153540982Short-term results of treatment of non-epithelial gastro-intestinal tumors complicated by bleedingS. G. ShapovalyantsA. I. MikhalevYe. D. FedorovR. V. PlakhovL. M. MikhalevaZ. V. GalkovaYe. V. IvanovaA. E. SergeyenkoAim of investigation. To study potentials of modern therapeutic and diagnostic methods in patients with bleeding non-epithelial tumors of the gut.Material and methods. In 52 patients for assessment of localization, structure and character of proliferation of tumor modern radiological and endoscopic methods were applied: balloon and videocapsular endoscopy, selective angiography, computer tomography, endoscopic ultrasonography with fine-needle biopsy.Results. According to suggested diagnostic algorithm detailed characteristic of patients with bleeding tumor was given, the optimal method of surgical intervention was chosen. In 13 (25%) of patients primary endoscopic hemostasis was carried out. Thirty five patients were operated (67,3%), and in 8 (22,8%) of them endoscopic erasion of bleeding non-epithelial tumor was carried out. In 4 cases (7,7%) intraoperative complications developed, after operation 1 patient (2,9%) died of pulmonary artery thrombembolism, overall mortality was 3,8% (2/52).Conclusions. Non-epithelial tumor of gut in 29,1% of patients are complicated by gastro-intestinal bleeding that is indication for surgical treatment. Proposed algorithm of diagnostics and treatment, that includes primary endoscopic hemostasis allows to avoid urgent intervention in 94,3% of patients and to execute it in the late stage, while in 22,8% to carry out noninvasive intraluminal surgery as a final treatment.https://www.gastro-j.ru/jour/article/view/1448gastro-intestinal bleedingnon-epithelial tumorgastrointestinal stromal tumorendoscopic ultrasonographyenteroscopy |
spellingShingle | S. G. Shapovalyants A. I. Mikhalev Ye. D. Fedorov R. V. Plakhov L. M. Mikhaleva Z. V. Galkova Ye. V. Ivanova A. E. Sergeyenko Short-term results of treatment of non-epithelial gastro-intestinal tumors complicated by bleeding Российский журнал гастроэнтерологии, гепатологии, колопроктологии gastro-intestinal bleeding non-epithelial tumor gastrointestinal stromal tumor endoscopic ultrasonography enteroscopy |
title | Short-term results of treatment of non-epithelial gastro-intestinal tumors complicated by bleeding |
title_full | Short-term results of treatment of non-epithelial gastro-intestinal tumors complicated by bleeding |
title_fullStr | Short-term results of treatment of non-epithelial gastro-intestinal tumors complicated by bleeding |
title_full_unstemmed | Short-term results of treatment of non-epithelial gastro-intestinal tumors complicated by bleeding |
title_short | Short-term results of treatment of non-epithelial gastro-intestinal tumors complicated by bleeding |
title_sort | short term results of treatment of non epithelial gastro intestinal tumors complicated by bleeding |
topic | gastro-intestinal bleeding non-epithelial tumor gastrointestinal stromal tumor endoscopic ultrasonography enteroscopy |
url | https://www.gastro-j.ru/jour/article/view/1448 |
work_keys_str_mv | AT sgshapovalyants shorttermresultsoftreatmentofnonepithelialgastrointestinaltumorscomplicatedbybleeding AT aimikhalev shorttermresultsoftreatmentofnonepithelialgastrointestinaltumorscomplicatedbybleeding AT yedfedorov shorttermresultsoftreatmentofnonepithelialgastrointestinaltumorscomplicatedbybleeding AT rvplakhov shorttermresultsoftreatmentofnonepithelialgastrointestinaltumorscomplicatedbybleeding AT lmmikhaleva shorttermresultsoftreatmentofnonepithelialgastrointestinaltumorscomplicatedbybleeding AT zvgalkova shorttermresultsoftreatmentofnonepithelialgastrointestinaltumorscomplicatedbybleeding AT yevivanova shorttermresultsoftreatmentofnonepithelialgastrointestinaltumorscomplicatedbybleeding AT aesergeyenko shorttermresultsoftreatmentofnonepithelialgastrointestinaltumorscomplicatedbybleeding |