NUTRITION OF ELECTRIC CABLE FACTORY WORKERS: SANITARY AND HYGIENIC ASSESSMENT AND OPTIMIZATION STRATEGIES
Keywords:
gastro-duodenal bleeding, endoscopy, hemostasis, ulcer, diagnosis, treatment, adult patients, method evolution.Abstract
The article presents a review of modern approaches to the diagnosis and treatment of gastro-duodenal bleeding (GDB) in adult patients, with a focus on the evolution of clinical, instrumental, and surgical methods over the past decades. Key milestones in the development of endoscopic diagnostics are highlighted, including the introduction of fibrogastroduodenoscopy, Forrest visual classification, and technologies for early identification of the bleeding source. Contemporary hemostasis strategies are discussed in detail, such as injection, thermal, mechanical, and combined methods. The role of proton pump inhibitors in pharmacotherapy, as well as algorithms for risk stratification of recurrence and indications for surgical intervention, are emphasized.
References
Абдуллаев У.Ж., Абдурахманов А.Р. Современные подходы к лечению язвенных кровотечений. // Журнал клинической медицины Узбекистана. – Ташкент: УзМУ, 2022. – №4. – С. 45–49.
Ахмедов А.Х., Джураев Б.Б. Применение комбинированного эндоскопического гемостаза при язвенных кровотечениях. // Вестник гастроэнтерологии. – Ташкент, 2021. – №2. – С. 31–35.
Jalilov O.M. Optimization of emergency care in patients with ulcer bleeding. // Uzbek Medical Journal. – Tashkent, 2023. – №3. – P. 56–60.
Barkun A.N., Almadi M., Kuipers E.J. et al. Management of Nonvariceal Upper Gastrointestinal Bleeding: Guideline Recommendations From the International Consensus Group. // Ann Intern Med. – 2019. – Vol. 171(11). – P. 805–822.
Gralnek I.M., Dumonceau J.M., Kuipers E.J. et al. Diagnosis and management of nonvariceal upper gastrointestinal hemorrhage: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. // Endoscopy. – 2015. – Vol. 47(10). – P. a1–46.
Laine L., Jensen D.M. Management of patients with ulcer bleeding. // Am J Gastroenterol. – 2012. – Vol. 107. – P. 345–360.
Sung J.J.Y., Chiu P.W.Y., Chan F.K.L. et al. Asia-Pacific Working Group consensus on non-variceal upper gastrointestinal bleeding. // Gut. – 2018. – Vol. 67. – P. 1757–1768.