OPTIMIZATION OF METHODS FOR PREDICTING AND PREVENTING RECURRENCE OF GASTROINTESTINAL BLEEDING IN DIEULAFOY SYNDROME

Orevkov Evgeniy Borisovich, Amarantov Dmitry Georgievich, Strinkevich Alexander Vladimirovich, Barinova Angelina Sergeevna, Denisova Polina Sergeevna, Fedachuk Natalya Anatolevna

Introduction. To date, there is no single effective method for preventing recurrent bleeding in Dieulafoy syndrome. Aim. To develop tactics for predicting and preventing recurrent bleeding in Dieulafoy syndrome by creating a unified treatment algorithm for patients with the above pathology. Materials and methods. Among 82 (100%) patients with Dieulafoy's syndrome, 37 (45.12%) patients were identified who had their own author's method for predicting and preventing recurrent bleeding (group I) and 45 (54.88%) patients who were treated using standard methods (group II). Results. An original method of endoscopic hemostasis in Dieulafois syndrome has been developed. An algorithm for predicting and preventing recurrence of bleeding in Dieulafois syndrome has been developed. Conclusion. It was possible to achieve a reduction in the number of bleeding recurrences from 48.88% to 24.32%.

Keywords:esophagogastroduodenoscopy, gastrointestinal bleeding, Dieulafoy's syndrome.