[Sarajevo during the war 1992-1993. I. Ulcer disease]

We examined appearance, localisation and complications of ulcer diseases of stomach and duodenum and concomitant pathological states revealed during esophagogastroduodenoscopy (EGD) among patients in internal hospital and outpatients unit during the war year 1992/1993 in besieged Sarajevo. We could examined only populations from 4 communities out of 26 which belong to this Clinical Center. Several conditions influenced on the number of examined patients: the lack of electricity, intensity of bombardment and at the beginning on the war internal hospital capacity were occupied with not heavily injured patients. The results show significant difference in appearance of ulcer diseases, especially of simplex and kissing ulcer of duodenum in comparison with pre war period 1991. The kind and the effect of the therapy remind an open question because of the lack of the drugs and their polymorphism especially among the outpatients. We could made only conclusions from the results obtained in the Hospital. Clear gastrointestinal hemorrhage were treated in Intensive Care Unit. These are preliminary reports, next is going to be modified with better working and living conditions. These results show enormous increase of the number of patients with gastroduodenal pathology.