[An improved method of risk prediction and prevention of esophagogastroduodenal bleeding in geriatric urology]

I G Leshhenko; N A Dodonova; B V Sidash; I V Shatohina; A S Nizhegorodcev; I Ju Lazarev; N A Krechko

[An improved method of risk prediction and prevention of esophagogastroduodenal bleeding in geriatric urology]

Urologiia. 2016 Feb:(1):52-57.

[Article in Russian]

Authors

I G Leshhenko^{1

2}, N A Dodonova¹, B V Sidash^{1

2}, I V Shatohina², A S Nizhegorodcev^{1

2}, I Ju Lazarev^{1

2}, N A Krechko^{1

2}

Affiliations

¹ Samara Regional Clinical Hospital for War Veterans.
² First Research Institute for Rehabilitation of Veterans ME REAVIZ, Samara.

PMID: 28247704

Abstract

With the aim of prediction and prevention of early postoperative esophagogastroduodenal bleeding (EPEGDB), 1296 elderly patients with BPH were examined during the preoperative period before isolated or simultaneous operations. Patients in group 1 (n=357) with a history of gastric or duodenal ulcer underwent esophagogastroduodenoscopy (EGDS). In group 2 (n=522) EGDS was performed and gastric acidity was determined using AGM-03 acid-gastrometer. Patients of group 3 (n=417) underwent EGDS and gastric acidity was determined by hromogastroscopy. The differentiated approach to treating patients of group 3 on the basis of preoperative comprehensive examination resulted in preventing severe complications such as EPEGDB. Prevention of EPEGDB in this category of geriatric patients should be as mandatory as preventing thromboembolic, respiratory, cardiovascular and septic complications.

Keywords: benign prostatic hyperplasia; early postoperative esophagogastroduodenal bleeding; elderly patients.

MeSH terms

Aged
Esophageal Diseases* / epidemiology
Esophageal Diseases* / etiology
Esophageal Diseases* / prevention & control
Female
Gastrointestinal Hemorrhage* / epidemiology
Gastrointestinal Hemorrhage* / etiology
Gastrointestinal Hemorrhage* / prevention & control
Humans
Male
Postoperative Complications* / epidemiology
Postoperative Complications* / prevention & control
Retrospective Studies
Urologic Surgical Procedures / adverse effects*