SURGICAL TACTICS IN THE TREATMENT OF GASTROINTESTINAL ULCER BLEEDING IN PATIENTS WITH CARDIOVASCULAR SYSTEM PATHOLOGY

Summary. We analyzed the results of surgical treatment of 28 patients with gastrointestinal bleeding of ulcerative etiology. There are group of 16 patients in whom the underlying disease burdened by cardiovascular pathology and control group 12 patients. Resection techniques were used in 9 patients (32.2%), of them - Roux stomach resection - in 1 patient (3.6%), 1 patient (3.6%), to whom performed subtotal gastric resection, Billroth II stomach resection - 7 patients (25%), of which 1 patient (3.6%) in which the ulcer was localized in the duodenum and 6 (21.4%) - with gastric localization. Palliative surgical treatment methods performed in 7 patients (25%), there are gastrotomy, bleeding ulcer closure in 6 patients (21.4%), and 1 operation (3.6%) is closure gastrojejunostomy ulcer. The same operations performed, which were conditionally radical. Excision of the ulcer with pyloroplasty according to Finney and Heineke-Mikulich observed in 2 (7.1%) and 6 (21.4%) patients, antrumectomy plus truncal vagotomy - in 4 patients (14.3%). The general postoperative mortality in patients with gastrointestinal bleeding of the ulcerative origin was 10.7%. Postoperative mortality in the group of patients with concomitant cardiovascular pathology was 12.5%, in the control group - 8.33%.