Comparative efficiency of endoscopic hemostasis methods in bleeding undercomplicated peptic ulcer in children

Abstract

Aim. To compare the effectiveness of endoscopic hemostasis in complex treatment of gastrointestinal bleeding in children of Chernovtsy region with peptic ulcer disease.Methods. 43 cases of bleeding in peptic ulcer disease in children are analyzed. For objectification of endoscopic picture in patients with gastroduodenal bleedings, J. Forrest classification was used. Argon plasma coagulation is undergone in order to stop the bleeding for 11 patients, for others aminocaproic acid irrigation.Results. According to the J. Forrest classification, continued bleeding was diagnosed in 25.6 % of patients, unstable hemostasis in 51.2 % of children, stable hemostasis in 23.2 % of patients. The severity of hemorrhage at admission: moderate in 19 (44.2 %) children, average 21 (48.8 %), heavy 3 (7.0 %) patients. All patients underwent a comprehensive treatment of peptic ulcer disease using drug therapy and endoscopic hemostasis. Using argon plasma coagulation, in contrast to the aminocaproic acid irrigation reduces the risk of rebleeding0.59 times when the number of patients who must be treated 2.99.Conclusions. The most effective method of endoscopic hemostasis of bleeding in peptic ulcer disease in children is argon plasma coagulation, which allows you to achieve a stable hemostasis and reduce the risk of rebleeding