[SOME PECULIARITIES OF ENDOSCOPIC ANATOMY OF THE GASTRODUODENAL TRANSITION AND ITS CHANGES IN DUODENAL PEPTIC ULCER].

E V Kolesnikova
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Abstract

Objective: To improve the diagnosis of the diseases of the pylorus and prepyloric region in patients with duodenal peptic ulcer based on the study of the mucous membrane folds

Materials and methods: Endoscopic examination of 208 patients without diseases of the gastroduodenal transition (healthy) and 112 patients with duodenal peptic ulcer of three age groups from 35 to 90 years. Men were 72 and 61, women - 136 and 51 respectively groups. Endoscopic examinations were performed by endoscopes EVIS GIF-130, XP-150 N, GIF H-180 and instruments of the company «Olympus» (Japan).

Results: Individual differences were revealed in the formation of mucous membrane folds of the pylorus and prepyloric region, in the frequency of participation of the walls in healthy people and patients with duodenal peptic ulcer. Age differences were revealed. Gender differences were not revealed. The clinical case of the patient with duodenal peptic ulcer and maltoma in prepyloric region was presented.

Conclusion: The features of the formation of mucous membrane folds, the relief of the mucous membrane of the pylorus and prepyloric region in healthy people and patients with peptic ulcer of the duodenum are necessary to consider. It is important to perform a biopsy, histological, c.

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[胃十二指肠过渡的内镜解剖特点及其十二指肠消化性溃疡的改变]。
目的:通过对十二指肠消化性溃疡粘膜折叠的研究,提高对十二指肠消化性溃疡患者幽门及幽门前区病变的诊断水平。材料和方法:对35 ~ 90岁3个年龄组无胃十二指肠过渡病变(健康)患者208例和十二指肠消化性溃疡患者112例进行内镜检查。男性为72岁和61岁,女性分别为136岁和51岁。内窥镜检查采用EVIS GIF-130、XP-150 N、GIF- 180内窥镜和日本Olympus公司的仪器进行。结果:健康人与十二指肠消化性溃疡患者幽门、幽门前区粘膜褶皱的形成、胃壁参与频率存在个体差异。年龄差异被揭示出来。性别差异并未被揭示。本文报告1例十二指肠消化性溃疡合并幽门前区恶性肿瘤的临床病例。结论:健康人及消化性十二指肠溃疡患者的幽门、幽门前区粘膜褶皱的形成特点、粘膜松弛程度值得考虑。重要的是要进行活检,组织学,c。
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