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  • Title: [The bleeding ulcer of the duodenum: the procedure in unreliable hemostasis].
    Author: Ratner GL, Koryttsev VK, Katkov SA, Afanasenko VP.
    Journal: Khirurgiia (Mosk); 1999; (6):23-4. PubMed ID: 10410511.
    Abstract:
    The treatment of patients with bleeding duodenal ulcers is still one of the most complicated and discussable problems in surgery. The aim of this study was an attempt to predict the relapse of bleeding from ulcer of the duodenum on the basis of the experience in the treatment of 539 patients with this disease, 101 of whom underwent surgery. Diagnostic criteria for prognosis of repeated bleeding have been developed and the role of each of them in reliability of hemostasis in ecores was determined. It was established that indication for urgent operations for unreliable hemostasis is determined by the sum of 11 scores and more, as probability of bleeding recurrence in this situation in 90.2%.
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