Vakhidov V V, Kalish Iu I, Bogdanov-Berezovskiĭ A G
Khirurgiia (Mosk). 1990 Mar(3):17-20.
The authors analyse the results of endoscopy in 127 patients and clinical observations over 98 patients with giant ulcers of the stomach. The study provided evidence of the low frequency of giant ulcers, their marked polymorphism, and tendency to bleed and degenerate. These ulcers do not differ from the usual ulcers in the values of the secretory activity of the stomach and the duodenogastric reflux, but possess characteristic morphologic criteria. Giant ulcers are marked by higher operative mortality and the late-term results of surgical treatment of these patients yield to those in cases of usual gastric ulcers. Giant ulcers occur most frequently in the elderly.
作者分析了127例患者的内镜检查结果以及98例胃巨大溃疡患者的临床观察情况。该研究证实了胃巨大溃疡的低发病率、显著的多态性以及出血和恶变倾向。这些溃疡在胃分泌活性值和十二指肠胃反流方面与普通溃疡并无差异，但具有特征性的形态学标准。胃巨大溃疡的手术死亡率较高，这些患者手术治疗的远期效果不如普通胃溃疡患者。胃巨大溃疡最常发生于老年人。
