Laser irradiation of indolent duodenal ulcer: comparative efficacy of different regimens

The results are available on 114 patients treatment with laser irradiation. All the patients had indolent duodenal ulcer, received irradiation of various types. The best short- and long­term response has been achieved with high-intensity impulse laser regimens. In addition of hyperbaric oxygenation and

local introduction of granulocyte concentrate to the above radiation, the effectiveness of the treatment was still higher, while the relapses two times less frequently.

(A summary from “Terapevtichesky Arkhiv”,

No. 2, 1993)

Significance of X-ray and endoscopic investigations of the stomach in examination of post-resection and post-vagotomy patients

X-ray and endoscopic examinations were made in the course of follow up of patients surgically treated for gastroduodenal ulcer (n = 134). X-ray investigations of postoperative stomach make it possible to assess it functionally, to determine its relations with other parts of gastrointestinal tract. Endoscopy is helpful in revealing changes in gastric mucosa, anastomosis capable of producing diverse motor and evacuatory distur­bances of the stomach. The methods are recomended in post­operative follow-up as these can identify early abnormalities and give information for relevant correction. The correction made by the authors resulted in a decrease in temporary disabi­lity by 2 — 3 weeks and in unfavorable outcomes from 17.2 to 4.3%.

(A summary from “Terapevtichesky Arkhiv”,

No. 2, 1993)

Gastric pathology as ulcer risk factor in patients on chronic hemodialysis of various duration

Two groups of patients with chronic renal failure under­went chronic hemodialysis within 1976 — 1990. Acute ulce­rogenic situation in them arose during month 1—3 of the treatment. Formation of ulcers was closely related to the acid-peptic factor. Hemodialysis procedure was found to con­tribute to ulcerogenesis, chronic hemodialysis being some­what an iatrogenic risk factor in such patients. Modern policy of managing duodenal ulcers in hemodialysis patients is dis­cussed.

(A summary from "Terapevtichesky Arkhiv",

No. 2, 1993)

Clinical prognostication of peptic ulcer complications by acute hemorrhage

Clinical parameters have been studied in 45 peptic ulcer patients without and 47 ones with acute hemorrhage. Factors of acute hemorrhage risk in ulcer patients have been specified (old age, long history of the disease, previous hemorrhages, duodenal ulcer localization at the back and upper walls and gastric ulcer localization at the middle and upper thirds of the lesser curvature of the stomach, size of ulcer, penetration). Combined existance of the factors is conducive to acute hem­orrhage.

(A summary from “Terapevtichesky Arkhiv",

No. 2, 1993)

The course of reparative process in patients with gastroduodenal ulcer (clinicostatistical study)

Clinicostatistical evaluation of reparative process in 332 gastric ulcer and 294 duodenal ulcer patients revealed factors of objective value to its course. In order of significance the factors rank as follows: area of ulcer, localization, combina­tion with certain mucosal erosions, total fasting acidity, free fasting hydrochloric acid, basal gastric secretion, cardial func­tion, duodenogastric reflux, sex, age, number of cigarettes smoked daily. When studying treatment effects on regenera­tion in ulcer patients it is necessary to take into consideration basal clinicoendoscopic parameters.

(A summary from “Terapevtichesky Arkhiv",

No. 2, 1993)

Task 10. Make brief statements of the above given arti­cles and summaries. Use the expressions from Unit 1 and Unit 2 for the purpose.

Task 11. Add the missing part of the clinical terms pertaining to the pathology of stomach: