Gastroduodenal major haemorrhages in critical patients. An original surgical technique
Francesco Cortese 1, Sara Colozzi 1, Roberto Marcello 2, Irnerio Angelo Muttillo 1, Francesco Giacovazzo 1, Matteo Nardi 1, Alessandro Mero 1
Affiliations
Article Info
1 U.O.C. di chirurgia d’urgenzaza (Chair: dr. A. Mero), A.C.O. “San Filippo Neri”, Rome, Italy
2 U.O.C. di radiologia (Chair: ff. dr A. Perozzi), 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