[The role of in-hospital protocols in diagnosis and treatment of ulcerative gastroduodenal bleeding]

[Damage control strategy in surgical treatment of patients with severe gastroduodenal bleeding]

OBJECTIVE/

To objectify patient condition and improve treatment outcomes in patients with benign severe gastroduodenal bleeding.

MATERIAL AND METHODS

We analyzed the immediate results of staged surgical treatment of patients with benign severe gastroduodenal bleeding according to the accepted concept of «Damage Control Surgery». The Rockall risk scoring system and the Glasgow-Blatchford score (GBS) were used. We preferred two-stage intervention in patients with Rockall score ≥5 and Glasgow-Blatchford score ≥11.

RESULTS

Staged approach according to the concept of «Damage Control Surgery» in patients with benign severe gastroduodenal bleeding ensures positive results by minimizing surgical trauma and perioperative bleeding, early stabilization of hemostasis and subsequent successful restoration of digestive function.

CONCLUSION

The concept of «Damage Control Surgery» in patients with benign severe gastroduodenal bleeding can reduce mortality and incidence of postoperative complications.