FIELD: medicine.
SUBSTANCE: invention relates to surgery and can be applied for stopping ulcer gastroduodenal hemorrhages by application of clips by means of endoscopic clip applier. Type of ulcer defect is preliminarily determined by Johnson. In case of type 1 ulcer, clip application is performed on vessels of medium caliber branching from anterior and posterior descending branches of left gastric artery, in case of type 2 ulcer clip application is performed on vessels feeding posterior wall of duodenum - branches of anterior upper and posterior upper pancreatoduodenal artery, in case of type 2 ulcer clip application is performed on branches of right gastric artery and branches of dorsal and lower pancreatic arteries. Clips are applied at the distance 1.5-2.0 cm from bleeding vessel.
EFFECT: method makes it possible to increase hemostasis reliability, simplify surgery technique.
3 ex
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