გასტრო-დუოდენალური წყლულიდან სისხლდენის ენდოვასკულური ქირურგია
DOI:
https://doi.org/10.52340/jecm.2023.06.03საკვანძო სიტყვები:
Endovascular surgery, bleeding, gastro-duodenal ulcer, embolizationანოტაცია
კუჭ-ნაწლავის სისხლდენა (კ/ნ/ს) არის დაავადება, რომელიც ხშირად გვხვდება, მრავალი შესაძლო მიზეზით. ყველა მწვავე სისხლდენა კარგად რეაგირებს კონსერვატიულ, მედიკამენტურ და ენდოსკოპიურ თერაპიაზე. მიუხედავად ამისა, გარკვეული რაოდენობის ენდოსკოპიური არაიდენტიფიცირებადი ან კონტროლირებადი არავარიკოზული კუჭ-ნაწლავის სისხლდენა მოითხოვს ალტერნატიულ, ზოგჯერ ქირურგიულ თერაპიას. განახლებული S2k გაიდლაინი „კუჭ-ნაწლავის სისხლდენა“ იძლევა ინტერვენციულ რადიოლოგიას მისი მინიმალური ინვაზიური ენდოვასკულარული ტექნიკით. ეს მიმოხილვითი გაიდლაინი განიხილავს ინტერვენციული რადიოლოგიის როლს კუჭ-ნაწლავის ზემო და ქვედა სისხლდენის თერაპიაში ენდოვასკულარული თერაპიის ჩვენებებს, ტექნიკას, შედეგებს და ინტერდისციპლინური თერაპიის ვარიანტების გათვალისწინებით, გასტროინტესტინური სისხლდენის გაიდლაინზე ორიენტირებული ენდოვასკულარული მკურნალობას. ჩვენს შემთხვევაში გამოიყენება საემბოლო მასალა, როგორც ჰემოსტაზური ღრუბელი, ასევე ხვეულები, რაც გონივრული ვარიანტია კარგი ტექნიკური და კლინიკური წარმატების მაჩვენებლებით და გართულებების დაბალი სიხშირით. ამ კონტექსტში სისხლძარღვთა ანატომიის მყარი ცოდნა აუცილებელია ადეკვატური ჰემოსტაზის მისაღებად.
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