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Modern possibilities of prevention of gastrointestinal bleeding in patients with gastric and duodenal stress ulcers

https://doi.org/10.30629/0023-2149-2023-101-9-10-505-508

Abstract

The article discusses the prevention of gastrointestinal bleeding in critically ill patients who are hospitalized in intensive care units (ICU). The main factors contributing to the occurrence of GIB in such patients are considered. The leading place among them is occupied by a stay on artificial ventilation of the lungs for > 48 hours and blood coagulopathy. Patients at high risk of developing GIB need prophylactic administration of proton pump inhibitors, H2-blockers, sucralfate, which allows to prevent the occurrence of GIB and improve the prognosis of patients.

About the Authors

A. A. Sheptulin
I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russia (Sechenov University)
Russian Federation

Sheptulin Arkady A.

119991, Moscow



S. S. Kardasheva
I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russia (Sechenov University)
Russian Federation

Kardasheva Svetlana S.

119991, Moscow



A. A. Kurbatova
I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russia (Sechenov University)
Russian Federation

Kurbatova Anastasia A.

119991, Moscow



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Review

For citations:


Sheptulin A.A., Kardasheva S.S., Kurbatova A.A. Modern possibilities of prevention of gastrointestinal bleeding in patients with gastric and duodenal stress ulcers. Clinical Medicine (Russian Journal). 2023;101(9-10):505-508. (In Russ.) https://doi.org/10.30629/0023-2149-2023-101-9-10-505-508

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ISSN 0023-2149 (Print)
ISSN 2412-1339 (Online)