Gastrointestinal major haemorrhages in critical patients. An original surgical technique

Francesco  Cortese; Sara  Colozzi; Roberto  Marcello; Irnerio  Muttillo; Francesco  Giacovazzo; Matteo  Nardi; Alessandro  Mero

1 Nov 2013Case Report

Francesco Cortese ¹Sara Colozzi ¹Roberto Marcello ²Irnerio Muttillo ¹Francesco Giacovazzo ¹Matteo Nardi ¹Alessandro Mero ¹

Affiliations

Article Info

¹ U.O.C. di chirurgia d’urgenza, A.C.O. “San Filippo Neri”, Rome, Italy

² U.O.C. di radiologia, A.C.O. “San Filippo Neri”, Rome, Italy

Abstract

AIM: Upper gastrointestinal bleeding represents today a serious pathology with two important problems: mortality and correct management. Our study is a review of recent and past licterature about causes, diagnosis and treatment of upper gastrointestinal bleeding. PERSONAL EXPERIENCE: The Authors describe an original surgical technique in treating patients with gastroduodenal haemorrhages and critical circulatory-coagulative conditions. Any surgical resective procedure could be absolutely inacceptable for the rates in morbility and mortality in these absolutely instable patients. We approached the problem with a control damage surgery by endoluminal packing of the stomach or the duodenum.

Keywords

Damage control surgery
Endoluminal packing
Gastroduodenal haemorrhages
Haemorrhagic shock
Nonvariceal upper gastrointestinal bleeding