sechenovSechenov Medical JournalСеченовский вестник2218-73322658-3348Сеченовский Университетsechenov-50Research ArticleСтатьиDIAGNOSTICS AND TREATMENT OF INTRALUMINAL GASTROINTESTINAL BLEEDING WITH UNKNOWN SOURCEДИАГНОСТИКА И ЛЕЧЕНИЕ ВНУТРИПРОСВЕТНЫХ ЖЕЛУДОЧНО- КИШЕЧНЫХ КРОВОТЕЧЕНИЙ С НЕУСТАНОВЛЕННЫМ ИСТОЧНИКОМИвановаЕ. В.IvanovaE. V.noemail@neicon.ruФедоровЕ. Д.FedorovE. D.noemail@neicon.ruЮдинО. И.YudinO. I.noemail@neicon.ruМихалеваЛ. М.MikhalevaL. M.noemail@neicon.ruТихомироваЕ. В.TikhomirovaE. V.noemail@neicon.ruФГБОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России; АО «Клиника К + 31 Петровские ворота»РоссияPirogov Russian National Research Medical University; “Klinika K + 31 Petrovskiye Vorota”Russian FederationФГБОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России; ГБУЗ ГКБ № 31 ДЗМРоссияPirogov Russian National Research Medical University; Hospital № 31Russian FederationАО «Клиника К + 31 Петровские ворота»Россия“Klinika K + 31 Petrovskiye Vorota”Russian FederationГБУЗ ГКБ № 31 ДЗМРоссияHospital № 31Russian FederationМГУ им. М.В. Ломоносова, ГБУЗ ГКБ № 17 ДЗМРоссияM.V. Lomonosov Moscow State University; Hospital № 17Russian Federation201830032018014047Copyright © Ivanova E.V., Fedorov E.D., Yudin O.I., Mikhaleva L.M., Tikhomirova E.V., 20182018Иванова Е.В., Федоров Е.Д., Юдин О.И., Михалева Л.М., Тихомирова Е.В.Ivanova E.V., Fedorov E.D., Yudin O.I., Mikhaleva L.M., Tikhomirova E.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sechenovmedj.com/jour/article/view/50

The article is dedicated to the results of complex diagnostics and treatment (including the new methods of enteroscopy) of gastrointestinal bleeding with unknown source. From 14.02.2007 to 19.04.2017 the source of bleeding was revealed in 173 (82,7%) of 209 patients, including small bowel bleeding in 154 (89,0%) patients. The most frequent sources of bleeding were vessel malformations in 39,6% of patients and small bowel tumors in 30,5% of patients. Endoscopic treatment was performed in 32 (21,7%) cases, surgical treatment - in 41 (27,9%) cases, conservative treatment - in 74 (50,4%) cases.

Статья посвящена результатам комплексной диагностики и лечения внутрипросветных желудочно-кишечных кровотечений с неустановленным источником, включающей современные методики энтероскопии. В период с 14.02.2007г. по 19.04.2017г. источник кровотечения был выявлен у 173 (82,7%) из 209 обследованных больных, при этом в тонкой кишке источник локализовался у 154 (89,0%) пациентов. Показано, что наиболее частыми источниками тонкокишечных кровотечений являются сосудистые мальформации в 39,6% случаев и опухоли тонкой кишки в 30,5% случаев. Эндоскопическое лечение было выполнено в 32 (21,7%) случаях, хирургическое - в 41 (27,9%) случаях, консервативное - в 74 (50,4%) случаях.

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The authors declare that there are no conflicts of interest present.