[What contributes to the transformation of Helicobacter pylori from symbiont into the etiopathogenetical factor of duodenal ulcer?].

Unlabelled: The aim was to study the relationship duodenogastral reflux (DGR) and Helicobacterpylori infection (Hp) at duodenal ulcer (DU).

Material And Methods: Group 1-50 patients with uncomplicated course of DU, Group 2-75 patients with destructive complications of DU; Group 3-40 "healthy" volunteers. It was performed daily EGDS, pH meter, semi-quantitative assessment of contamination of the Hp.

[Clinical significance of "night acid burst" phenomenon in patients with duodenal ulcer].

The article discloses the results of the examination and treatment of duodenal ulcer patients with or without "nocturnal gastric acid breakthrough". This phenomenon was recorded in 19% patients. They have night heartburn, complicated duodenal ulcer in anamnesis, on the one hand, and more long duration of ulcer healing, decreasing efficiency of eradication Helicobacter pylori, on the other hand.

[Painful syndrome in patients with ulcer disease in relation to intragastric pH].

Painful abdominal syndrome and diurnal fluctuations of pH values were investigated in 125 patients with different clinical variants of duodenal ulcer disease (DUD) in the phase of exacerbation. Fifty patients had uncomplicated DUD; it was complicated in the remaining 75 patients. The clinical course of the uncomplicated disease was characterized by moderate to severe painful hyperacidity syndrome coincident with the period of exacerbation, marked daily variations of pH, and manifest duodenogastric reflux (DGR).

[Characteristics of the psychological status of patients with peptic ulcer].

The article discusses changes in the psychological status and the forming of various types of attitude towards the disease in patients with a favorable and unfavorable course of peptic ulcer (PU). The subjects of the study were 82 patients with exacerbation of PU; among them there were 30 patients with a favorable and 52 patient with a complicated course. Patients with a favorable course of PU did not displayed prominent peaks in SMOL profile, which reflected a relatively benign state of their psychological status.

[On correlations between the clinical course of peptic ulcer and the patients, compliance and quality of life].

The article is dedicated to changes in life quality (LQ) and mental status, and to forming of various types of response to the disease in patients with benign and unfavorable course of peptic ulcer (PU). The subjects were 140 patients in acute phase of PU, in 66 of whom the course of the disease was benign, and in 74--unfavorable. In both groups there were patients with low and satisfactory LQ.