FIELD: medicine.
SUBSTANCE: invention relates to minimally invasive surgery, gastroenterology, endoscopy, and can be used for combined haemostasis in developing jejunal or ileal hemorrhages. At the first stage, balloon-assisted enteroscopy is performed. Tube is put on the endoscope, which is brought to the area of localization of the bleeding source. Radiopaque endoclips are applied on the bleeding source with the help of a clip while simultaneously marking the bleeding source area. Endoscope is removed. At the second stage, transradial approach involves angiography. Location of the radiopaque clips is used to detect a vessel that is a source of bleeding, and its occlusion is performed, and then a control angiography is performed.
EFFECT: method is effective, enables to quickly identify the source of bleeding in the distal small intestine, minimize the risk of complications associated with the development of organ ischemia due to non-target embolisation, due to preliminary marking of bleeding source with further X-ray endovascular hemostasis.
1 cl, 4 dwg, 2 ex
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