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[Comparative studies of peptic ulcer in the active stage with and without hemorrhage]
Abstract:
100 patients with gastric peptic ulcer and 100 patients with duodenal peptic ulcer in an active with well expressed pain syndrome were studied clinically and gastroscopically. These two groups of patients were compared by several indices with a group of 81 patients with gastric peptic ulcer and 243 patients with duodenal peptic ulcer admitted to hospital because of acute bleeding from the ulcer. All patients were examined endoscopically with a fibroscope "Olimpus--GIF--Q 10". The results were processed by the semiquantitative statistical method--U criterion. It was established that the peptic ulcer patients over 60 years of age bleed more often than the younger ones. The incidences of bleeding increase with the duration of the ulcer. Comparatively more often bleed the ulcers on the posterior wall of the duodenal bulb and the larger ulcers. Preceding drug induced lesions are found more often in the bleeding ulcer patients than in the non-bleeding ones with an expressed pain syndrome only. The results lead to the conclusion that advanced age, use of ulcerogenic drugs and greater size of the ulcer are unfavourable risk factors for bleeding in the patients with peptic ulcer.