Prognosis and prophylactics of early postoperative esophagogastroduodenal bleedings in geriatric practice
Leshchenko, I.G.; Iakovlev, O.G.; Sidash, B.V.
Vestnik Khirurgii Imeni I. I. Grekova 166(1): 83-87
2007
ISSN/ISBN: 0042-4625 PMID: 17672116 Document Number: 609357
Results of examination and surgical treatment of 488 elderly patients (mean age from 60 to 89 years) with benign hyperplasia of the prostate (BHP) who underwent planned prostatectomy were analyzed. It was shown that early postoperative esophagogastroduodenal bleedings (EPEGDB) occurred in 7% of clinical observations of elderly and senile patients with BHP after prostatectomy. These patients become urgent surgical patients. The endoscopic parietal pH-metry was considered the method of "gold standard" in the selective precision determination of acid-dependent conditions in elderly and senile patients with BHP. The developed method of prognosis of EPEGDB risk allows the principle of differentiated approach to the effective preoperative prophylactics to be realized in elderly and senile patients with BHP. A complex preoperative management using adequate anti-sectetory therapy in elderly and senile patients with BHP and risk of the development of EPEGDB contributes to their considerable reduction (from 7 to 0.6%).