sibmedСибирский научный медицинский журналСибирский научный медицинский журнал2410-25122410-2520ИЦиГ СО РАН10.18699/SSMJ20220512sibmed-891Research ArticleКЛИНИЧЕСКАЯ МЕДИЦИНАCLINICAL MEDICINEПодготовка верхних отделов пищеварительного тракта при кровотеченияхPreparing the upper gastrointestinal tract for an esophagogastroduodenoscopy to identify the source of acute bleedinghttps://orcid.org/0000-0003-2293-136XИльканичА. Я.IlkanichA. Ya.

Андрей Яношевич Ильканич, д.м.н.

628412, г. Сургут, ул. Ленина, 1

Andrey Ya. Ilkanich, doctor of medical sciences

628412, Surgut, Lenin str., 1 

ailkanich@yandex.ruhttps://orcid.org/0000-0002-1121-9636ДарвинВ. В.DarvinV. V.

Владимир Васильевич Дарвин, д.м.н. проф.

628412, г. Сургут, ул. Ленина, 1

Vladimir V. Darvin, doctor of medical sciences, professor

628412, Surgut, Lenin str., 1 

dvv@mf.surgu.ruhttps://orcid.org/0000-0003-2192-8396РыжиковМ. Г.RyzhikovM. G.

Михаил Григорьевич Рыжиков

628412, г. Нижневартовск, ул. Ленина, 18

Mikhail G. Ryzhikov

628412, Nizhnevartovsk, Lenin str., 18

orcchief@yandex.ruhttps://orcid.org/0000-0003-0917-9994ОганянА. В.OganianA. V.

Армен Валерьевич Оганян

628412, г. Нижневартовск, ул. Ленина, 18

Armen V. Oganian

628412, Nizhnevartovsk, Lenin str., 18

niak1994@mail.ruСургутский государственный университетРоссияSurgut State UniversityRussian FederationНижневартовская окружная клиническая больницаРоссияNizhnevartovsk District Clinical HospitalRussian Federation2022271020224259398Copyright © Ильканич А.Я., Дарвин В.В., Рыжиков М.Г., Оганян А.В., 20222022Ильканич А.Я., Дарвин В.В., Рыжиков М.Г., Оганян А.В.Ilkanich A.Y., Darvin V.V., Ryzhikov M.G., Oganian A.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://sibmed.elpub.ru/jour/article/view/891

Эзофагогастродуоденоскопия (ЭГДС) является главным способом диагностики кровотечений из верхних отделов ЖКТ. Диагностическая точность исследования зависит от подготовки. Цель исследования – оценить подготовку верхних отделов пищеварительного тракта при эзофагогастродуоденальных кровотечениях. Материал и методы. Проведен ретроспективный анализ 2570 историй болезни. В основной группе (1299 пациентов) выполнялось промывание желудка через назогастральный зонд, в контрольной группе (1271 пациент) подготовка к первичной ЭГДС не проводилась. Выполнено сравнение количества выполненных ЭГДС и выявление источника кровотечения в контрольной и основной группах, а также периода исследования до момента определения источника кровотечения. Результаты. Проведение ЭГДС без подготовки верхних отделов ЖКТ при кровотечениях и установление диагноза возможно у 85,6 % пациентов. Подготовка верхних отделов ЖКТ к проведению ЭГДС удлиняет период исследования на 30–60 минут, но позволяет установить диагноз в 93,7 % случаев, что на 8,1 % больше, чем без подготовки.

Esophagogastroduodenoscopy (EGDS) is the main way to diagnose bleeding from the upper gastrointestinal tract. Diagnostic accuracy of the study depends on the preparation. Aim of the study was to evaluate the preparation of the upper parts of the digestive tract in case of esophagogastroduodenal bleeding. Material and methods. The retrospective analysis of 2570 case histories was carried out. Gastric lavage through nasogastric tube was carried out in the main group (1299 patients). Preparation for the primary EGDS was not carried out in the control group (1271 patients). A comparison of the number of EGDS performed and the detection of the bleeding source in the control and the main groups as well as the period of investigation up to the detection of the bleeding source were performed. Results. EGDS without preparation of the upper gastrointestinal tract in case of acute bleeding and determination of the diagnosis is possible in 85,6 % of patients. Preparation of the upper gastrointestinal tract for EGDS prolongs the study period by 30–60 minutes, but allows establishing the diagnosis in 93.7 % of cases that is by 8.1 % more than without preparation.

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The authors declare that there are no conflicts of interest present.