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[Treatment of gastric and duodenal ulcers during endoscopy]
Abstract:
The author reviews the results of the local treatment of 142 patients for peptic ulcer of the stomach (24 patients) and duodenum (67 patients). In 51 cases, symptomatic ulcers were diagnosed. Use was made of a complex of surgical and therapeutic endoscopic interventions. The local treatment of gastroduodenal ulcers made it possible to attain positive results with a complete ulcer cicatrization and disappearance of the clinical symptom-complex in 105 (83.3%) out of the 142 patients. The effect was transient in 24 (16.3%) patients. The ulcer did not heal in 13 (9.1%) patients. The follow up studies for 2 to 5 years revealed no relapses in 79.5% of patients. No complications were recorded. Indications and contraindications as to the therapeutic endoscopy were determined with regard to the clinical and esophagogastroduodenoscopy data and histological examination of biopsy material.