[Choosing the optimal surgical method for duodenal ulcer complicated by bleeding]

Area of Science:

• Gastroenterology
• Surgical Treatment
• Endoscopic Procedures

Background:

• Gastrointestinal bleeding (GIB) management requires tailored tactics based on clinical setting capabilities.
• Stabilization and hemorrhage control are paramount across all care levels.
• Recurrent bleeding in duodenal ulcers poses significant clinical challenges.

Purpose of the Study:

• To present a clinical case of managing recurrent duodenal ulcer bleeding.
• To analyze treatment tactics in a patient with morbid obesity.
• To evaluate expanded indications for endoscopic intervention in complex GIB cases.

Main Methods:

• Review of treatment guidelines for gastrointestinal bleeding.
• Case presentation of a patient with a duodenal ulcer and recurrent bleeding.
• Application of endoscopic methods for hemorrhage control.
• Management of morbid obesity alongside bleeding treatment.
• Analysis of chosen therapeutic strategies.

Main Results:

• Successful cessation of recurrent bleeding through expanded endoscopic intervention.
• Effective management of post-hemorrhagic disorders.
• Demonstration of a feasible treatment approach for GIB in morbidly obese patients.

Conclusions:

• Endoscopic intervention can be effectively utilized for recurrent bleeding in duodenal ulcers, even with comorbidities like morbid obesity.
• Treatment strategies for complicated peptic ulcers should be individualized.
• Adherence to established guidelines while adapting to patient-specific factors is crucial for optimal outcomes.