The results of endoscopic and surgical methods of hemostasis in persons of elderly and senile age with acute gastrointestinal bleeding caused by an ulcer

The aim of the study. To define number acute gastrointestinal bleeding cases due to ulcer and analyze results endoscopic surgical methods hemostasis in elderly senile patients. Materials methods. In total, 463 patients with (AGIB) were treated between 2019 2020. There 323 persons over 60 years age (69.8 %). A risk for was identify according Forrest Classification (2006). Local performed 68 (21.1 %) age. Results. Group (n = 32; 47.1 represented by who underwent diathermocoagulation, local achieved. indication activity: FIa 4 (12.5 patients, FIb – 14 (43.8 %), FIIa 1 (3.1 FIIb 6 (18.8 FIIc 7 (21.9 Successful achieved 24 (75 they discharged. Recurrent massive AGIB observed 8 (25 2–6 days. We have identified causes recurrent bleeding: giant ulcers on posterior wall duodenal bulb, lesser curvature gastric cardia, active at time hemostasis, prehospital anticoagulants, decompensated concomitant pathology. Emergency laparotomy variants After operation, 5 (83.3 died (hemorrhagic shock 2, multiple organ failure pulmonary embolism 1). Repeated 2 a fatal outcome both cases. B 36; 52.9 F1a stigma failed perform hemostasis. 16 (44.4 8, 5, polymorbid state Conclusions. Among ulcer, old accounted 69.8 %, among whom 21.1 % prevalence one, respectively. Surgical options traumatic, more reliable, but resulted high mortality rate 44.4 %. Endoscopic low-traumatic, successful 75 non-effective form rebleeding episodes 25 followed that led 83.3