Scientific Unit for Clinical and Medical Research, Osijek University Hospital
Abstract
Na Internoj klinici Opće bolnice Osijek učinjena je prospektivna studija gdje je napravljeno 3950 ezofagogastroduodenoskopija i u 238 bolesnika nađene su duodenalne erozije. U 99 bolesnika one su bile udružene s peptičkim ulkusom. Bolesnici s duodenalnim erozijama (u obje grupe) bili su uglavnom u dobi od 30 do 59 godina. Omjer muškaraca prema ženama u bolesnika s nezavisnim erozijama bio je 4,8:1, a u bolesnika koji su imali erozije udružene s peptičkim ulkusom 6,1:1. Duodenalne erozije su u 143 bolesnika diseminirane, a u 81 bolesnika zonalno raspoređene (uglavnom na prednjoj i stražnjoj stijenci). Pojedinačne erozije nađene su u 14 bolesnika. Pojava duodenalnih erozija u obje grupe bila je najčešća u jesen, a najrjeđa ljeti. Pojava konzumiranja alkoholnih pića, crne kave i pušenja cigareta slični su u bolesnika s duodenalnim erozijama i u općoj populaciji podvrgnutoj ezofagogastrođuodenoskopiji. Ti rezultati pokazuju da su epidemiološke karakteristike duodenalnih erozija dosta slične onima kod duodenalnog ulkusa i zbog toga ova patologija treba biti uključena u široko poglavlje peptičke bolesti.In the prospective investigation on the Internal Clinic of General Hospital Osijek 3950 endoscopic examinations has been done and in 238 patients duodenal erosions has been found. In 99 patients duodenal erosions coexist with ulcerative peptic disease. The patients with duodenal erosions (in both groups) were predominantly between 30 and 59 years old. The ratio of men to woman in patients with autonomous erosions was 4,8:1, and in patients with erosions connected with ulcerative peptic disease was 6,1:1. In 143 patients duodenal erosions werde disseminated and in 81 patients were zonally disributed (mainly in the anterior and posterior walls). In 14 patients single erosions have been found. In both groups duodenal erosions were mainly observed in autumn, and rarely in summer. The intake of alcohol, coffe and cigarettes were quite similar in patients with duodenal erosions and in the general population submitted to endoscopic examinations. In conclusion, the analysis of our data presen epidemiological characteristics of duodenal erosions very similar to those pertaining to duodenal ulcer and therefore this pathology has to be included in the wide chapter of the peptic diseases
