MORPHOLOGIC CRITERIA OF UNFAVORABLE PROGNOSIS FOR CHRONIC GASTRIC ULCERS
The analysis of morphologic status in 115 patients with chronic gastric ulcers by means of complex endoscopy diagnostics and profound morphologic study of gastrobioptates was performed. According to these results there were selected 2 clinic groups: the 1-st one (51 patients) with successful drug therapy; the 2-nd one (64 patients) with resistance to medical treatment and subsequently underwent surgery. The complex of unfavorable morphologic factors was selected. It performs to predict low efficacy of medical therapy of chronic gastric ulcers: incomplete intestinal metaplasia and dysphasia of gastric epithelium of borders and fundus of the ulcers; original alterations in gastric mucosa as chronic atrophic pangastritis. The data obtained are the basis of morphologic prognosis and choice of treatment tactic of patients with abovementioned pathology.