METHOD OF ENDOSCOPIC HEMOSTASIS OF BLEEDING FROM PYLORODUODENAL ULCERS

摘要

FIELD: medicine.;SUBSTANCE: invention pertains to medicine, surgery and may be used for hemostasis in pyloroduodenal ulcers when there is no clear visualisation of the source of bleeding. Endoscopic examination of the pyloroduodenal zone is done followed by consecutive injection of solution of vasoconstrictor. Injection points are selected from 6 points of pylorus at 1, 3, 5, 7, 9, and 11 hours of the reference clock-face. A point located in the central part of the upper wall of pylorus is accepted for 12 hours. With the source of bleeding located on the front wall of the bulb DNA injections are made into pylorus points corresponding to 7,9,11 hours of the reference clock-face. With the source of bleeding located on the upper wall of the bulb DNA injections are made into pylorus points corresponding to 1 and 11 hours of the reference clock-face. With the source of bleeding located on the back wall of the bulb DNA injections are made into pylorus points corresponding to 1,3,5 hours of the reference clock-face. With the source of bleeding located on the lower wall of the bulb DNA injections are made into pylorus points corresponding to 5 and 7 hours of the reference clock-face.;EFFECT: use of the method decreases number of complications through clear visualisation of the source of bleeding.;3 dwg, 4 ex