RESUMO
A comparative study of gastric and duodenal bulb mucosa has been performed in 138 patients with ulcer before and after treatment. The patients were treated with either He-Ne laser or copper steam laser alone vs combination of laser therapy with spa treatment. The most favourable was the complex including green spectrum laser in combination with administration of Shira Lake mineral water and electrophoresis of this water.
Assuntos
Úlcera Duodenal/reabilitação , Duodeno/efeitos da radiação , Endoscopia Gastrointestinal , Mucosa Gástrica/efeitos da radiação , Estâncias para Tratamento de Saúde , Mucosa Intestinal/efeitos da radiação , Terapia a Laser , Úlcera Gástrica/reabilitação , Adulto , Biópsia , Terapia Combinada , Úlcera Duodenal/patologia , Duodeno/patologia , Mucosa Gástrica/patologia , Humanos , Mucosa Intestinal/patologia , Sibéria , Úlcera Gástrica/patologia , Cicatrização/efeitos da radiaçãoRESUMO
AIM: To study effectiveness of short courses of intensive peloidobalneotherapy in duodenal ulcer (DU). MATERIAL AND METHODS: Esophagogastroduodenoscopy and biopsy before and after the treatment course were made in 124 DU patients. Depending on timing of moor applications, pine and pearl baths, the patients were divided into 2 groups. Patients of group 1 received procedures daily with interval 4-5 hours (intensive course), patients of group 2 were treated each other day. RESULTS: 3-4 weeks of the treatment produced a response in both groups but in group 2 there were no signs of active inflammation in gastric and duodenum mucosa. 2 years later, patients of group 1 had histological evidence of chronic inflammation exacerbation. The latter was absent in group 2. CONCLUSION: An intensive course of peloidobalneotherapy results in attenuation of chronic gastroduodenal inflammation in DU patients.
Assuntos
Balneologia/métodos , Úlcera Duodenal/terapia , Úlcera Duodenal/patologia , HumanosRESUMO
Intensification of peloidobalneation pattern results in cicatrization of ulcer in many patients with duodenal ulcer at the stage of partial clinical remission and attenuated exacerbation during 18 days promoting alleviation in chronic inflammation in gastroduodenal zone.
Assuntos
Balneologia/métodos , Balneologia/estatística & dados numéricos , Úlcera Duodenal/terapia , Peloterapia/métodos , Peloterapia/estatística & dados numéricos , Adulto , Antibacterianos/uso terapêutico , Antiulcerosos/uso terapêutico , Biópsia , Úlcera Duodenal/tratamento farmacológico , Úlcera Duodenal/microbiologia , Úlcera Duodenal/patologia , Feminino , Infecções por Helicobacter/complicações , Infecções por Helicobacter/tratamento farmacológico , Helicobacter pylori/isolamento & purificação , Humanos , Masculino , Pessoa de Meia-Idade , Antro Pilórico/patologiaRESUMO
The authors studied effectiveness of intensive peloidobalneotherapy (PBT)--daily peloids, baths and drinking mineral water--in 124 patients with duodenal ulcer in attenuating exacerbation and incomplete clinical remission. The condition of the gastroduodenal zone was studied with intragastric pH-metry, esophagogastroduodenoscopy with spot biopsy, usease test, rheohepatography. Intensive PBT reduced the time of the treatment by 8-10 days, faster relieved clinical symptoms, raised the number of ulcer healings, normalized acid function of the stomach, prolonged long-term effect. The response of the body to intensive PBT increases therapeutic effectiveness 1.6 times. Tolerance criteria for PBT and the effect prognosis formula have been designed.