[SOME PECULIARITIES OF ENDOSCOPIC ANATOMY OF THE GASTRODUODENAL TRANSITION AND ITS CHANGES IN DUODENAL PEPTIC ULCER].

ABSTRACT

Objective: To improve the diagnosis of the diseases of the pylorus and prepyloric region in patients with duodenal peptic ulcer based on the study of the mucous membrane folds Materials and methods: Endoscopic examination of 208 patients without diseases of the gastroduodenal transition (healthy) and 112 patients with duodenal peptic ulcer of three age groups from 35 to 90 years. Men were 72 and 61, women - 136 and 51 respectively groups. Endoscopic examinations were performed by endoscopes EVIS GIF-130, XP-150 N, GIF H-180 and instruments of the company «Olympus¼ (Japan). Results: Individual differences were revealed in the formation of mucous membrane folds of the pylorus and prepyloric region, in the frequency of participation of the walls in healthy people and patients with duodenal peptic ulcer. Age differences were revealed. Gender differences were not revealed. The clinical case of the patient with duodenal peptic ulcer and maltoma in prepyloric region was presented. Conclusion: The features of the formation of mucous membrane folds, the relief of the mucous membrane of the pylorus and prepyloric region in healthy people and patients with peptic ulcer of the duodenum are necessary to consider. It is important to perform a biopsy, histological, c.