Biliary involvement in the evolution of gastric and duodenal ulcer

The complex clinical, biological and radiologic study of 1000 patients with gastric ulcer (GU) and duodenal ulcer (DU) showed biliary involvement (BI) in 141 (14.10%) cases, more frequently in women (57.44%) in the 30 to 39 years age group (35.76%). With reference to the onset or the clinical form, the frequency of BI increases with the duration of the ulcer. After the development of biliary distress, the clinical picture changes rendering the diagnosis more difficult. Ulcer being the cause of BI by functional, inflammatory and adhesion factors, a pathogenetic treatment is obligate.