RESUMO
According to clinical and histological researches, a conclusion can be accepted that the chronic atrophic gastritis is a very serious precancerous condition of stomach. Biological key and connection between these two entities seemed to be intestinal metaplasia, but it has been suggested lately, that the dysplasia of gastric mucose was responsible for malignant proliferation in stomach mucose. The aim of this study was to determine the precancerous potential of the chronic atrophic gastritis, measuring the frequency of dysplasia of gastric mucose, type II and III, which are considered as precancerous lesions. The results (according to t-test) in the tested group (61 patient with histologically proved chronic atrophic gastritis) comparing to the control group (64 healthy persons), showed statistically highly significant difference in appearance of dysplasia of gastric mucose type II and III. It confirms high precancerous potential of the chronic atrophic gastritis and the need for frequent endoscopic and histologic examinations of these patients.
Assuntos
Gastrite Atrófica/complicações , Neoplasias Gástricas/etiologia , Adulto , Idoso , Doença Crônica , Feminino , Mucosa Gástrica/patologia , Gastrite Atrófica/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Lesões Pré-Cancerosas/patologiaRESUMO
New methods "Rapid health assessment" fulfill the request for a methodologically clear and efficient way of gaining the recent data, using relatively limited resources. The aim of the study was an assessment of health care delivery and problems in its realization and the population health status, in the period of crises (and of 1993/begining of 1994). The study showed that first effects of crises are shown in the field of health care delivery and than in the population health status. The difficulties were not the same for all, children and urgent cases had less problems than others. The morbidity structure among children and adults was changed. The morbidity structure among children and adults was changed in comparison with routine statistical data. The period of crises has been too short to draw any definitive conclusions.