[Peptic ulcer of the stomach and duodenum in geriatrics - one disease or two?].

The authors discuss the peculiarities of the terminology of gastric and duodenal ulcers. A clinical, endoscopic and morphological study (determination of the relative area and density of sex hormone receptors in the mucous membrane of the antrum of the stomach) of 760 patients of different ages and genders was carried out. It was found that six clinical parameters (duration of anamnesis, frequency of occurrence of concomitant pathology, epigastric discomfort, belching, heartburn, hereditary predisposition) and two morphological parameters (optical density of estrogen and progesterone receptors) statistically significantly differed in men and women over 60 years old suffering from duodenal ulcer, not gastric localization.

[Tertiary syphilis of the pancreas and liver in 82-year-old patient: case study].

It has been described a clinical case of late diagnosis of syphilis of the pancreas and liver of elderly patients. Two years before that it was wrongly diagnosed with cancer of the pancreas with liver metastases, and the patient was operated on with the imposition of cholecystostomy. It was conducted appropriate therapy and reconstructive surgery after verification of the diagnosis of syphilis of the pancreas and liver.

[Immunology-related aspects of gastroesophageal reflux disease and Barrett's esophagus formation].

The purpose of the research was to study particular features of the cellular immune status and serum cytokines in patients with the gastroesophageal reflux disease (GERD) and Barrett's esophagus. We have examined 70 patients with erosive GERD and 42 patients with Barrett's esophagus. Clinical, endoscopic, morphological and immunological study methods have been used.