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Importance of ulcer size and localization observed at endoscopy in differential diagnosis of gastric ulcers

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Author(s): Ayşe Kefeli | Abdullah Özgür Yeniova | Yaşar Nazlıgül | Metin Küçükazman | Muhammed Saçıkara | Zeliha Asiltürk | Ayla Tezer | Gülçin Şimşek

Journal: Journal of Clinical and Experimental Investigations
ISSN 1309-8578

Volume: 2;
Issue: 3;
Start page: 273;
Date: 2011;
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Keywords: Gastric ulcer | diameter | localization | differential diagnosis

ABSTRACT
Objectives: The malign lesions of stomach may be ulcerative. Today, the follow-up periods for patients with gastric ulcer (GU) has not been clearly defined. The aim of this study was to assess the significance of ulcer size and location in differential diagnosis of GUs at endoscopy.Materials and methods: Data were retrospectively collected from the records of gastrointestinal endoscopy unit and pathology laboratory of our hospital between August 2008 and October 2010. We evaluated the demographic, endoscopic and histopathological features of the patients with GU. ROC curve analysis was performed for determining cut-off diameter differing malign ulcer from benign ulcer during gastroscopy.Results: A total of 161 patients (81 males, 80 females) with gastric ulcer were included. Twenty-seven patients had malign ulcer and 134 had benign ulcer. Mean ages of groups of malign and benign ulcer were 66.4 ± 13.8 and 56.7 ± 17 years, respectively (p
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