ENDOSCOPIC METHOD OF TREATING GIANT GASTRIC AND DUODENAL ULCERS Russian patent published in 2010 - IPC A61B1/00 A61B10/04 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to intraluminal endoscopic surgery of stomach and duodenum, and can be used in treating the patients with giant gastric and duodenal ulcers. An ulcer surface is exposed to endoscopic therapy by punctual noncontact surface monopolar coagulation with a centripetal argon plasma flame at flow rate 2.2 l/min starting in a 'SPRAY' mode at flow intensity 44 Wt, exposure length 2-3 seconds for each point. After a 30-second pause, the ulcer surface is treated with the argon plasma flame in a 'COAG' mode at flow intensity 44 Wt, exposure length 2-3 seconds for each point. 5 days later, the 'SPRAY' mode treatment of the ulcer surface is applied once more at flow intensity 40 Wt, exposure length 2-3 seconds for each point. If after 7 days following the second treatment, the monitoring fiberoptic gastroduodenoscopy shows a maximum ulcer diametre exceeding 1.5 cm, the third 'SPRAY' mode ulcer treatment is required at flow intensity 40 Wt, exposure length 2-3 seconds for each point. General coagulation time for the entire ulcer surface area in each treatment session makes 20-30 seconds.

EFFECT: method allows better treatment optimisation and improved conservative therapeutic effect in giant gastric and duodenal ulcers, as well as prevention of potential complications development.

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