[Rehabilitation of patients with duodenal ulcer developing in the advanced age].

A rationale is proposed for the principles and strategy of non-medicamentous therapy of duodenal ulcer (DU) developing in the advanced age and assessment of its socio-medical efficiency. Staged treatment was given to 234 patients in whom DU was diagnosed between 61 and 65 (mean 63.2) years of age. Basic therapy and long-term dynamic follow-up were carried out in outpatient settings (basic stage). The aim of the inpatient treatment was to maintain the previously achieved level of physical working capacity and quality of life (maintenance stage). Sanatorium therapy was needed to consolidate remission and strengthen resistance to the illness (consolidation stage). The study demonstrated higher socio-medical efficiency of the three-stage non-medicamentous treatment compared with single-stage therapeutic programs. Its use for physical rehabilitation of patients with DU is substantiated based on modern concepts of neuroimmunoendocrinology.