Kataev S S, Shifrin O S, Golovanova O Iu, Tsvetkova L I, Lebedev S P
Klin Med (Mosk). 1989 Jun;67(6):32-6.
Functional and morphological state of the stomach and duodenum was studied in 98 patients with liver cirrhosis. Hepatogenous ulcer was revealed in 21.7 per cent of the patients with alcoholic and in 25 per cent of those with viral liver cirrhosis. A specific feature of the condition was the development of ulcer in reduced gastric acid production and its asymptomatic course. The incidence of gastric and duodenal affections in liver cirrhosis was significantly higher in pronounced portal hypertension. Study of the portal blood flow with Doppler ultrasonography can reveal the risk group (patients with pronounced portal hypertension) which has high probability of the development of erosion-ulcerous lesions. These patients require obligatory medical checkups with gastric and duodenal endoscopy 2-3 times a year.
对98例肝硬化患者的胃和十二指肠的功能及形态状态进行了研究。酒精性肝硬化患者中21.7%以及病毒性肝硬化患者中25%出现肝源性溃疡。该病症的一个特点是在胃酸分泌减少的情况下溃疡形成及其无症状病程。在明显门静脉高压的情况下，肝硬化患者胃和十二指肠病变的发生率显著更高。用多普勒超声检查门静脉血流可以发现有发生糜烂性溃疡病变高概率的风险组（明显门静脉高压患者）。这些患者需要每年进行2 - 3次胃和十二指肠内镜检查的强制性医学检查。
