Prevention of erosive and ulcerative gastroduodenal bleeding in patients after endovascular surgery on the arteries of the lower extremities for critical ischemia

The OBJECTIVE was to evaluate methods for the prevention of gastrointestinal bleeding in patients after endovascular surgery on arteries lower extremities critical ischemia. METHODS AND MATERIALS . study included 188 treated vascular department A. Polyantsev General Surgery Clinic Volgograd State Medical University obliterating atherosclerosis period from 2017 through 2021. RESULTS There a relationship between indicator that patient indicated independently – number painkillers taken per day reduce pain, and erosive ulcerative lesions stomach duodenum both groups. increasing operations with extremity ischemia (СLEI) expected decrease amputations indicates increased capabilities X-ray surgeons preserving ultimately life decompensated forms extremities. This group had large perioperative complications various organs systems, including high probability bleeding. CONCLUSION An risk occurrence (GIB): repeated reconstructions, surgical corrections or at levels, as well taking anticoagulants therapeutic dosage. Long-term routine acute duodenum, proton pump inhibitors is not acceptable this patients. It necessary have complex effect factors aggression exclusion use NSAIDs, total eradication.