Czy należy rutynowo wykonywać endoskopię górnego odcinka przewodu pokarmowego przed naczyniowymi zabiegami rekonstrukcyjnymi? Endoscopic examination of the upper part of the digestive tract in vascular surgery patients — should it be a routine procedure?

Content Provider	Semantic Scholar
Author	Ziaja, Krzysztof Zaniewski, Maciej Urbanek, Tomasz Simka, Marian
Copyright Year	2001
Abstract	groups of patients with peripheral atherosclerotic disease were analyzed. In all the patients from the group first (300 patients) before vescular reconstruction rutine endoscopic examination of the upper ali- mentary tract was performed. In the second group (300 patients) endoscopy was done selectively accord- ing to the ailments. Gastric or duodenal ulcerations or erosiones were recognized in 81 patients (27%) from the routine endoscopy group — in 56 cases the pathology was asymptomatic. In the group of pa- tients without routine endoscopic examination, in 8 cases gastroduodenal bleeding due to peptic ulcera- tions occurred postoperatively. At autopsy other 4 patients, whose deaths were related to another patholo- gy, were diagnosed to have active peptic ulcer. In the paper pathogenesis of the more frequent peptic ulcer disease occurrence in vascular patients was discussed — including possible risk factors. According to the authors' experience every patient qualified for elective surgical management of occulsive arterial disease preoperatively should be examined endoscopically, and if an gastroduodenal pathology is diag- nosed, the vascular procedure should be performed after these changes are cured.
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Alternate Webpage(s)	https://journals.viamedica.pl/chirurgia_polska/article/download/29061/23829
Language	English
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Resource Type	Article