Clinical features of gastroduodenal ulcers in patients of elderly and senile age with coronary heart disease
Kodirov Sh S, Omonov SH, Usmonova NA, Nurmuhamedov HK
One of the сentral links in the development of tissue dysfunction in elderly and senile people is a violation of their blood supply, of which the gastrointestinal tract is the most vulnerable. 104 patients with CHD were examined: 7 (6,7%) with acute smyocardial infarction (MI), 49 (47,11%) with progressive strenuous stenocardia (PSS), and 48 (46,15%) with strenuous sztenocardia (SS) functional class III - IV. The average age of the patients was 65.3±2.4 years. The paper uses the endoscopic classification of J. A. Forrest (1974); a three-step classification of the severity of blood loss, determined by clinical and laboratory data. Electrocoagulation, application and injection methods of hemostasis were used for endoscopic hemostasis. Based on the studies conducted in patients with CHD with gastric ulcer and DPK, the so- called "silent ulcer" is observed in 67s, 30% of cases, that is, there is no clear clinical picture of the erosive lesion of GDO. In patients with CHD, single and muzltiple ulcers (both complicated and uncomplicated) are registered more often in the age group of 55-65 years compared to the age group of 66-74 years (63,56% and 6,43%, respectively). In the treatment of elderly and senile patients with CHD and ulcerative bleeding, emphasis should be placed on hemostasis, the main endoscopic methods for stopping bleeding.