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...

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Main Authors: S. G. Shapovalyants, A. I. Mikhalev, Ye. D. Fedorov, R. V. Plakhov, L. M. Mikhaleva, Z. V. Galkova, Ye. V. Ivanova, A. E. Sergeyenko
Format: Article
Language:Russian
Published: Gastro LLC 2011-09-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/1448
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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.
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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
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