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Spine de ninders esate arate, decals colar Be he loca sri, espa precoce pagree Aten consis tar de ord goer: ciple x eit frstlcvitaren Pears osc prcindpcomee eee confor, hori de Istoidcnna cura. sor ts De presale gion iguoas lea prin i Pai scres pier ergs pore lor ul, era unghie Meeps penta > vita incarnares,evtaresonciultatament lor. Este rata purarc arr Se vor ev contin loeleactesene errno anos sou ingeie(yens- prone ewlive, pas Fat in genre roomed esl et ou ope event, drat, 0 iit de Meuiicatlesicih peru sila vaca celia cole CPrtseapia utc, de serene, deavolara cull coat. Se Te ta pg toiomcn, pes dltace eles asloe member Tteconantca aplre cls pemembrl bolo; denaebe cere Sree a O,oeepul heist pot pl pri gts Ta al bol, den en ol portant gneasica vascular Buea, tan ies digest sures dich membre viene aun Tipe) nae, dpa care see arate arargine atl 3 mite Nepelfuoraomals ae 5 mint. Serpe accte mie 4 ~5 er ede aceon poi de mal mate ope 2 Sema recomend es a ata Dore, Buz, Bones, Toad Mien cu Aninfeacon, Ac seis, Alga nso tr a enr) ina lst ince cuNooein eau Aes pct Popavein Hyderpin; Tl: te wsalatcle unt ede. Bune rez dx, weer,_S—rsSF—aaaeesstst:” 22 Media tent petra cadre meth sain in era orp teil sie gi intoduceres cerns ate lomture a Novos peeoiain tvocin "omen circ! conan spats mbar xtipaes toa! are loci ara cu eee sities vemos I oy, ‘ogra nin amputees “atamevtl ers al genre cant in eit, compres op tnd in sla de erungannt potsia 0.20% sw cid bore ‘Sid rumen vara poise toler Dien a hipes, notes aya dab eae vn pinata uma Serer ln ob isd claire (nb i apie rerio Figwoss! «pcoul, ou felis gil pov. Traarnensl sa, Inpocoleseulenian,aneonplnt su rombelie dup caz Se recom. ‘odaoue Tlali, Pl Pepsin Kalin (Putin), Peron (Cen Ns Xa (CompinSaanis) Novena Xara ‘Sst le inpatio nmber perf bepusince Dupd ear tt. ‘hin sinpsomielonbur,worbareetoms ponte, pelea. ‘423 Ble vena 421, ‘Trombabi conn bereits arial aoe vee pinch intavsula cu ante pert veooe Date piciala complica roi ie prea ala vomfoomble. In evalu ye eases ss ‘nile bombo ese (6) end chen! st 8 rele eis dare onc ied emboli ofisderor. dn! ‘od sheagl et tent pret, elma ui embligen. Princip og unt saz cial eas hperoapulblatn singe 1 = ‘xd ens Trmbolis ape eve nif cardi, ‘afc aie desc vena dais moblit pcg Poi + ‘bo cectzae i prim din cancer bla sngell esc eles aes ‘lcci coco S tev dap inrven shri ee shige pe 3 oe heap ‘Sa de ldronocd = te agen, produc ‘i per ann nade ene gti, som ated ett on a aati mera" oe sau cert any cordon dt ses 05, Peles eae veo peopeman dec cone, eatctiavehl Sr yenevacone Sobol profnds ws shou zuma ees n ds sti etl pretense, xan pin ok den 3 at eid Pes cerpentor cps cn sone ene ie are Pagueis ueresyorns rl pms suse pate e+ Eeighopites deci orofiexa psa preset rsclae Pate Scns ork nes panics tempera eas Boek ire, usr, lars ver sper Dp ceva res le Hpac eects mt von cll arpa, ay Storie cnn ce era aad p msn consti Petal ties peste romani ght Exar Pe toric ou sunt peice (rears VS, levtetors ae) Tes de epecnelibite gst vs foes oct. Tambo vas eae Pepa nivel ents ie ropat op vl omrle Desa deste Gentiocae, cin dns onl Ge mnt spre normal. Cod ober Retest ta comeing ce rind mecca mre tach et fem ioc) seme ct se, el volinos cine Metin pies Toctcbneyericas wo sve athena oa Potic inch less ncn ponerse Toon Poin rcs cae 2-9 cps doce fa codec are, 0 Heepcaton st svmacac pa Edel one ole eae pte Ferrera nt psionic ost Pelinghelepeccite Het tno ronnofeic mmr su reciente, veto pet © etaaptscticn ou pa pane vir: rombl eric, Hernia bmp sewer nombateccn spasm arriba Its icc vet es. S Comptes oa eens ve cota pulmo, cre apr a eet Sntencs inca Cind se sad de orbit er ietasbae dene torte debate lpiorlops Sete cms eft rn ero ee Si atinse, serie prin, nl uma Cpa spins apace ns emboli plone Fee Pia sates Seles sper ss rotigs tape yew ecomais nobis pecoc pt oper saa ahaa oman pret pa ips sac ele Le eed alii ap imate epior, epec Cer unbonebis speicnls spit local ile inf emt Sao naisvent 7-10 le Feibulzon, se api bands floc Se pert bona st measiete Sn tcadne prfelmiiy ompesclbe Darr, semis Sore pins Ambfens, Lao gue a Hon Pete cs scrgi sespgenn aan Dre tn so rp wes a ‘Sitieogatne Senge cri (0 me n= 6 comin. Pires oa S rep tiny 0 drat np Non Se eee ce se asic i cane edu rp (er pert on ‘Since rons) sop) sn Trea, ab controll ‘Epon cre tue menue 19 30% Dackaparhemor saa pe - ammieemenetar nies cores Er recomand practic ama ‘Srcomodi mse ean eae stasis pte cena ee sr a ‘ede sore petra 3232 a pe perme Neri ce compres rect pe gumbe tp de 20, i ale ‘rit dats pomnn ge. epic Pebsorits= 161-20 ‘ahve pet spe ote clue malar Eason bes: ‘peo i pated at prs ume pes el opens, ee ‘cn lng en plies) oper dp Ieasrprcsc ‘Some tk ae maa ote ee Stren ican (urate modo) contin mica "Sep meno evr ima wen Be anor Run ona Ovo ser Snel bcesnsa obeyi 1 Bepcatnal cruel cond nocturne emt iret pe acne ort en pe ices suena gps it sec ‘tune je eras Daa in ei, pe os» eno: Sez cerned ose crea pert or ero nregult Pemenal crud vricor seizes Se pin teepie coset ‘oor pice promenente abosane pe rc chiral Tata coer flue ele mass sewn vr Sea condi cree neds snes imi enon Visas civ we vaio spe tine 8 Depo pol ep wpe een el mol ums dup no ‘url em perme Ee ee rene vuln oat Betas ene te pr voli ron gogresvd Compile celemal bipuite sant eens vrcee de veciniate ‘ction pa veined ee es 23 bs oss im—ncincmnaee FE toon men eis Shane Sena Re a i Sn cinoma pees tone ‘bandale compresive, cure de repaus In pt, cu a. Hise la emboic), interven chirurpcale, neoplasme, raamatisne, sarcind (wilizarca ‘ape fill daple bhaie ae Seal anloapcaea cane nS Hiiepenle,hiperconglasine. Simp; rere su sensiiliate, we eer, ee eee Taam hyn os 2 lr de sod 2%, gee nin 29% Seal ce Se I° e Si mace gma ere flea yearend epee eeBotte a iesy 27 Jr noi pine ns: Inxamecl loi aparece" saca Forma sev neni de ott, nine minut Menno shrapnel sete nepe de aw, cae seu ne slg some; prunes zap ctl ica st dapat coo daar, se mame 4, BOLILE APARATULUI DIGESTIV 4.1. Nail de entnie loge inberocitare forms sua funds), segmental verical est corp stoma Sislneesi Sanna ts face 04s fears continu ca mica tuber aol cu antral poi 5 eink lori Ine cri por ef ocd mari: agin exer Sou spent) og. somas esl oie ines os, 8 Rect rows ia Carb orgies nero ns rica erburd Src, Soma te ete np norma bcona nt ios Sa Seem stern et velit de con eon. ccna ee ales dnb a0 fe a jeilindric, care secreti macus, si din glandele stomacului’ plandele fundice, de aid clair ep. plone plore celle mare, ects dems usc te rts nn Satine ce fob unsotnerndi ce clr yon st exer cue og eaten os Stal ccs anal plorasxeeare pc contd sincere FSi or bs _ Da et ws am reer sn ok raids er eeee peencats Fost c Hin feet srl prc polarons veal respiratarie, ie — aladaalad ,Prin functia secretoare, stomaculintervine in digerarea fesutului conjunc rotnlr ce jr acer sal ppie, Mcil pt a [pset deprinrorin oprind rasa cen ct ate Sere a stage a tn prune reflexes, op in eur-chimie cs puctJelearenmocnsagsic cag, fd asi nil sare ct neil) ae Senay plots anv value ec BL so ets repent dod, jis. lee sfngs Fr forma we pve dst ur porn rina pore eee oo dvodena, unex odit ptpilo et wjor mobil portion ssa fo reaps Close! vcr incase vast Poet ces punretk porns ia ee onan a poranea eres tite aeons gn comad cu Jean formind wnghialduedeno- feo | SSroourt,deosenat calc input moc, submucoss, Bihcaysu « Gra, ou fee muscle circle foopttnal) i serosa poitoncal ma pe fg aed ote ar ou fai prinpl: mooi score. Motte inpinge chillies fart epee aon Gin iteva secunie, Shenson obrces serctind (x lin time pancreas 2 Seuartinan ere reforms wpsinogent Tsing) macs La Sess chia alent sos din tomas soul rings si sons i coor bol spre ca prin esos fe since) duodenal ice cal bist sul pnerestic. eon a mic we x ol mar pr vii pre vin seep dapat neo bracers, scl seas i ra ope ga eens jgonodcana2 _Medicind tternd petra cadre medit a Mucosa fomean cutee (rae conven) si emumiete tna, rein spel nor, ex mare ol In absorbant, pores emia eos ses mameroy folic ita, Bee its goss rem a mucus, Fanta de abso exe ms ise xe a sles, ivell aul weenden se sbor pe, le itaminee,slucora. La nivel reuse pr bso aban ese 3p acsten sug n ven cad fru. olextem deirporatin olga pte joc lore neta 4.2. Noten de smilie 421. Seog gor «fag SAnamnen wire dscopere fori cai, emi, chim sa n= cre provocd ates bale. Ne vor interen de eonzele means sane chimie, aici aca asl ade, od cmt), bi oe merce plsmbul, ofr, Exist gear care pot aven mies esl gra ee spect ermial al tubule digetvelincep de fe dabetalzahrat,scobul, sinzoamele hemorapipae,levcemia, ound Sedge iil ine stn ol aor ii beac ain rl Mo) aa ee ee eee See Stele = er sansa oneal . sau jtorul delim. Mirosul guri sal aerului expirat poate oo eo a ee oa _— Fafa interna a obrajilor, examanats cu atentie, poate fi revelatoare pentru unele ee saps ea eee pone a ee | Sppetlgaegetefeegtons leo cee se retzs:3 we fxn cota n ste, ng = compen anoscat sub ume de sidrom ef.490 _MedicingInternt pentru cadre medit Digi ete cate pe carta o ea nh. ‘Daron cancer entice pest oat exer sa steno sleet ep pein inl msl tee dice Regia oe taller ssa stag (A spn, eee ee ro care sled procs de ements sn ‘andar ein con men li ae et: anata scr ‘flere lk xl ats kg. nt ec epi srl tr rh S—nsckinpeatemaaes nnn samen alg cc lft der at fore pss, Eso ‘nun penton Ea sc dwca rect ‘neti pers pane ee oe ipso! Pr Bara ois dept yen aie ne Mee loi smth ae Botte aparatula dgestiv 431 can Fig.2-Punctee dureroese ‘domi 1 -enigste;2- one: 3- plow iden 4 sr 5-paraorbiale; (Mori 7- Mac Buoy, 8- Lanz 1 10-ovafene 116m 1 -Topograiaabdomenutu TRA -gocande op regunes onbacali: free ste: Coogan fos ach crosci tings fra importante manifests sublet. Acest ree pcte de ydere- localiza, radii ue aenaczh Duel abdominal pot ebdmine cb aia dno fen gene cae oven fobs 4) i cy smelt 8 pore cue Fe a ces a ac i yomone svi ese oe pce mom malig "SE naj! msdn cc e Sana ner anne peo ge ae = erp, hl oi a ec en spa e Sea co mn om4 _ Md inter entre cadre med “aceon pe ned. Celta Damir eee anecdotes are erase amr primis won aos SEA po acento pes a acts ae esa Tare pedi eae mere Pabwe san. etfs pee dal anneal ors Pp ‘Stange poten pipe ca pees paces ne cap rene pach meabepene ne noon tere po ‘reba pape anne plop cl ao Seno eoaaane Fora scr pie nde ine snc ‘ction! gr ‘alts pene pcp Matis ‘Pinan rus en ip ‘Sat ena mpigna tre) pars erect ‘Sree nant oneness ei chin ee ae el el also ‘alone oan Seal as an npn pee ean ond sm oc shi np dp Beep amps ures pera pacman lol ee In care se recuse cin! bint dil recone 424 Seige sonst ron io pare in special at Pot nteesaindeaseb uleeroast ici tana ©? tthe a de stew ct aam = reds Secon tiem Ease ele aparatalu gent 433 Pps, Digital, clorun de potas, corel, Fnibuszons, Indo ganic arcial ec Inaicedete pesos botava tebe vem Petes tatercsor ssl noe cuss cir, ble infections. (Sinptonel funcional: Sena de pein estudio sa banat I Pippees ists sri dsc nicer de pepe ut. Deer esto na des eas reader dren eanen Peers repo ing ce densest a iens varie: Papen eps, ar, ioc le, untinian. Un carci Ippon Serer ete rl nich nme aii rape cuasa Une CBecece pti in tip ca snip ad, hoo ent semiardv,a Per ph rns iar sr ctv, a3 au $6 or dup tei Tee Dever ar opr a6 oe unt ue ihpertadve ps see dO Teesiode nme, dune done de aomesueoons Due pt eat ude gerade slimee cepa de uct son picoue de dinar Mapai slealine, be provociresvaiurior Mc lara vase eur» gzler dn soma: su din xi Basin Se lee dso scrofa Is eroarte none, ae rfc = Pager ct re linet sete nts. Ea se Inset de 0 Gebel armen screen, mei prec, vie males Ia eu biper- ‘eid, Tester isc clic busch pe gr a confit stoma. Este Rctecox cu poncal Je paren sore, esi, pacrea, i ili th Feteeeees Vartan ut arabeceeve, astm, abun) oat Gti pmsl lysed pre an) lve ate Ube penct evden calc oss cont (limentre, bila, maces, Pie, Rake, pune) epi ire liens eb Mare felesneconnomeningeeca 1-2 emai oaine eork pepe ea nnn ene Baie te Bn aan tar ae Ba et ice en a here ge oS i aoe incite ey nes can arctan mi i eto Sct a er04 Medici intern pntra cadre mit p on pa emengi)-sae-pl net) Pst pet pi rae Shem (in cz dross) ca umn comping re. ‘Soemnk pore ol (aber ast pene) Sr saig cae ath sen dant, exten wor aftr acne baa len spl ib (ib saburasa nets ps ‘lei lain depen anemic eich) P Tipe stomach | ‘wees react Parcs ce pe tac ol sau u prance, iin bl. ep fig sh cont aaa abdominal. Sesibitatey vc (Sen as clam pnce oan piste, solar, subse Se et Pippa pote provact lps ae coms nt 0 ‘wet gee pure anormal a 1-2 Gap ask para ‘Stein semi pt oon sel an perro senza por Poa pone inset apa vlumull asi acai ‘suis dimension tere gee. “omen complonenae: Exameral radii l somactls x 856 SS smite een ecm ees os Se Se moesteutidarmintens tance at es fetbitamin. Pe (oor se see e Oks == ence pe is 1S mite? Pei eg hist 10g eure corport Din corobrre cat de Petre eu iil ci gasnce eset dba! oid oar. Vlole Berea son prs see sl 1.3 ifr et scei tia Barrer 922 rok In veers eter chron eet tari cuinutin pe stdin in vagal (pein) Seine fod hilar. tile slot ee Sin cana de 300m Pepe defies ce stimuaen cubis eecopis conv in examen! via ol mcousei stoma yar o are Mss pentru ings, Ease ae trl astosopls sua beoscopel ee crs Serco ew amen nog ve reget comaieatie Pectin, core instore, sui carte, vi teat Bea paisnrt cyte cc Fox ere ftograierea nel, Be rerabeea, cers wor bps ycxamene iologi.Ete un examen tua pours dogs cancel pre nin 425, Senile ein Sicemncne ya sexu st rine clement care webu vate eee Beare ce vip yon esi soem ine, Ba van, pte catertannervoas sec onc toxice (hb meat I etait cer rrdona a msl, obzal de caasau eee, ana nara cant pot fet dca investiga No Hereee lin re tcc he tu Se metas, ae pt I aa nrc tv annie os ese in ure "eater Ge fnconale hacen gers inemsa ae rn en gtr, Del ordain St fer ut ne col enna AE a ede von, ecb at 9 denon care ch oigaca lr as, Beat pare uci pt vg ane ohab re Se Sat acts rina cch cave blr rec-signoiine Fe rana care ceca ec peel an tue See Tom, Reeve Ot omnes BEEN, sine mi 2 re i ie maa: Sack a Pec dat se de teeene 9 cae be ss re isc ial rs uni ret Seunele e peacetime ove at ce i deo ee, nti tele,496 Medica itrad penta care med ‘nape Deeme cr cost deat inional coast a, (drt en em organice cance, senor megacolon, ae’ pl, ‘Si uments, bl endoene Exist constipai provocate ‘ahearee ‘ieee indo main tant intestnal accel, dese into mime sane mo su ihe, Cd numa cause ‘nee mae per bur import rin pieen dap ide electro Di setnsege demab ode clits. Tillie one de gaze ut aise Be pio mae fesse ‘in inne or ru char suprmat. Cid eliminarea azcor ee Fecenh vai de lan, sume ori intesin produce mi Elmina uo “complet spina dat x opie vaca scant ss feomen de semi pase inden ocarn intestinal ; ‘samen obec: Inpctia generlé poate ara @ tolerant uns « {hts dmpoin, oar stripe, Se vor cerceta consi «> uu, facies cloaentogumenteoy, stare esti adios subeutanat. ‘usec limb eva proced pal especaabdamera umn = ola forma spec prem fp dace observed mig peri = “Polos va epi senn soinal, Fane drrose ao ‘ce foe nhac paces sould) preci ye ssa tence a Spar oii ier fc Bee teens sil esi Exar! = A cipia informs exacic 1)" Sreimaliena Spt ie apart digeiv 497 Dbsrmert macro ecu cntns,comier, oma, ae peas cent pope more jr ge paral Bp de or oy ce pst au wr ema ih 3 Peet we cigs con rept nr) Siglo ae Beate prove npc coke arn ogni Cand nga > Betis ele corl nce pence Pos singel Hemme cot rnp: A Wee Pg tery ao mes nd re se acoso emer te gong tinea monet eraer pote Ines opera rn rg Or a ein ne cence in ep. se amen ebook Peeper ete est in scosn in foun nance ale segment termina: igmoideretcoidwceros, cancer sn ncaa deschier wines Hien eorigine peigentals ae pedicul. Bena chime pout ea mdi le rai: reat ites alain anger recanted fare romans aco pnt cum ufo erat ras, cle mas stl cnjene: amidase. . Bastrop ve face jor coprocutrilor pote pune in researc ae mira lcs sec ctral sual dba, Pena Magee ocpeick mada Panto in bara cman cnt oom tl oe ei coat noni: Pna 3035 cn eprare oil nl Se flsee ri emi fern trios ola pega Se rea silo jor! Haar lene ca nee rece deat etal Retosigmoi- cde peas i dignostiu seamen recta tlpolpler tenota bene eae pancin peste fac owes inlanaoi te acne oat bre, Acre oi pt ing Tt atc nim noun de ginggest 439 488 Mean mer pty cdre meh sein ca cm ng cat es ee ors Pisoni spice. Clini ek (9-40 soa, pli dare) Soa, ur pecral ar Seneca nant ale Pe eee Der i es on colal lor puin dr ep eerie extinde pre ‘ ar cu neon jie eines, povoctnd ode ln. euealeoo! Pris i Seen rows een cs ong nr ae ch. a faery pe ot aint agen ee meta (mis adore ct de mac eats oo erent enrich casero) Btadivl exsucasiy cy eet sesh usenet. elnino Sn ms eve a coi, nae eile Ai eer our Semana priser coca pe mrs cal a ae Levnomene nese Himbic etl sesnay taps lik one speical ped pl cen ws finalise oc vind est Ma he) cco se der ome rico dard hl in intregime. gd es ile. Stomatita aftoastd trebuie deosebitd de febra aftoasd, care este © fade cue pp ee ses pvc det vine ian ae eto Soe Havana nb ersten we pe, dace festa Mocs femora call .. Sot spars wince de eabont aa incite ens ide protectie(lichide, i icra ag seabereat?-3 singin cu tl eta pie gin) be ini seit Surpass pana tee 9m sain iets Vie Deed ont feu mereur, pun. fecjune manifest pinro coumctie spasmodic» moscalatrit or. Se evident Spal oe ponte pec in rer pon esofgs, dar a fea socs aera rT cad ene esa conc mail de sister aan eae a reg ut epatve. N pips? esi ort al a Kopats alee usar pen een neat surne negra eof, a ace wee easnsl eae tvlies nuro-musculars compel esft- ane ct an leant) oe ei arp onal eae digi Pe ye yoat olga ae or ape Bik, rd iN—————_—— 40 Medici inter petra cadre med 5 ese reat prado de ingen ur ich sa po cr deerme a ‘Song pene soi sensi real eae: eg, tno tore eof diagnostic dere c w cane 0 ‘inns neugndselapeeln ener endscop completo ‘nae psa een pai const nines eau sgn le pai. Pena Sasmal eeud vor ts. Sonera proven nln iti ditiaze et, nn ise vers npn) cuzin gravese pot practic ir ‘Spite procin isis Aelia hi Sine cof nea, 2 tage elma fret, wnt de cau toh nd provocate de ingrares + shen neti tm ain ich a de ule) Sem pat pode prin ingen wo ‘cis in inghiien or ap ss Mal pot prvecate de prop ‘seid vem de coca acid eae tice, 0 ‘nce eminent detent, abo cic ein de ist ede ecsemal Dsl foarte. ik abstnte cas oxic es cone 5 q “ G boriewta, Trasamer"! seg eg eet mr 2 =a = =a en. Poi ia seit Bolle a 443, Rela gostro-esofgian Ippae dart volumuli gastric recut presi gsrice crescute: clini par Proas disasie,esofgih alte complica (ler esofagan, hemoragi 5 Diagnostica! se pane pe vanzitl arta, endoscope biopse Trtament:incrarescatzlor, anicie, loca a receptor H-2 , Dacd bispande, secure Ia dove mai mari Omeprazlul extern eficace. Se diatd stile, Tratamentslchrugical ese indat in eazuile severe, refratare la feaument medicaments Tate forme de eofags: herpes, medcamentoasd, condo, SIDA et 444, Senora esloglt Este ongustare mai mult ou mai pusinpromun- Pella onductuui esofgian in cle tei locur de ear eolgis sl eofagli, Ceara igor Fak eat ete ingest de substan cxusice Mai Tastresponsaile do stnoziri i uroarelecauze: ine corp stn ulerl peptic esofgin, Postnfetinse, Debut boi este anunat isfigie, caenifia suvne dost ininghiies oe solide, Utero, diatigia se accenueack on post gin hide Esta lst deasapea srr limentle se vor npunga format dincindincind oleae voles golearcs aca pungh rez ur esofagcne. Pe misc va reds dealimentare, lav ites de padologic vie a nivel si: Suprasrcual. Esafogoscoinrlevs i sceai tmp pei prleores ua Jatent pon pas Gags pon supiciues de stenozare can- ade in lav, Tretamentl cel eae ech ae ol cu nde agra alimetaiabo“amootap tad oun e 3824 e498 ‘syezoon nes asypo-omoy jos woeful 40826208 9p nouns He ‘simquon wanted se ‘zeoyzodes mes out v)'29Ho8jeu8 16 “sreouy “une "oy pupopu ‘moot iowa 2088 8 a ro ‘warziv 9p as ode aunsanda usn 058 Hog ‘mofa ayunzeo uy eouamd reams 8 amuse SUR} “mgsodun um pay yuo ects’ 22009 8059 usage tons syueziennon ainyos“ssaBur ud ‘uezeanau njs Joan ‘Boyend 9§ ‘xsd op njoound ez up ‘eye wide oun eazonponutyesppureuns airy ‘lsd 2p moe tnt “(enna ap yano) gsvouosaaypunse ona nes mRoewoys © sano ate 95 oun eons) nominate “Ory HOR) ‘ings peo0soud wy jez aun a suauonsy Snape oe 8 mo 29 mnasujog sarag yet aaunyeuy eer 30ND tod gms eqns fury 9s umpars wi 1qe20001 ARR op ‘ap 2p wpa etn yeumsona 6 pounseidsaeza0p ‘pana earamp nse yout jul rons even fpreoonu je apn any ad azasseu pono a8 dene ‘supaoy “nz “uns poe-npos ap spy 2ossne slmgn oan Punsuo sjeuapooreurooro> as Preouousy/ 220109 BD “spun y yoon8 0c Fos eID as Hom ‘ns puuacnded no fu uauopat ad =yeo02. Spam aso ‘saiBoad onpan 9s ode (estaez 2p ade $f oat aU 9 ‘dso ond 9p ra rene raze: ouray ae tases nse ons ron 3p ae nUNS sey o}o2os sa ‘samp posun‘rlusader‘isise ‘snrao orem w arene ‘aounseida uninp swords ns (pope acemNa ‘aenones) avopro.isou 2ondyeue "ayes “ausknpuod “unfeat ‘preodoo asour oot ap rea8ex wnsus hug wd me os a ‘sjuoune azne3 unig eu 2 217 (2adp wad) on pase eazy 0 ton (ean “anys ‘pea “nsoue ie usnp) adds op asfor oF anyone ‘| 2anp sod poi op ‘esd ree i ae some rvojotuiod tour supo] > 9 ere id ayone ad ugg Yeuiad) gotewoxduise[ei2038 ut ‘ouase8 rou 6 pofane % onusso8 -2aneworduts unojae 0 ave (¥ da) eoxpunf nase “agnseons pep2aHD o(erH) 2p DENI ~G sac MRE roe (3 2a) S708 ‘roe! 94 puna 9 82159 vena ed oa 0 span ia ea <0 ona “mp aagep ap i pet oad Scopes ego “nd pa ses qe a a 1) om a am ood a idea 94 2 ag ‘ye cs poo "sj 99 ad ‘reed otsomm ae ee “ico oc Sa "9p aa “Piso yn ofa} “ud © erie RT ION TF“44 Meakin itera pen neh $$ upingeraen lrg: ee ee singelui neo ‘Desa pr pe epee pie — ‘Diagnostica ese nest de rei elaine coreecinend ae Tne! une patil en re i eae ln SF onaneaaanaanomermesg siping nat re eee Spoor Enel sa Lig ia Deon a ‘=Evuce a or ma in Omen cpl xen ‘ara hemrges sce ti dag pt aie ‘orwell Gini et exon ona. (512 at ote Ce een dbp pine arta eine dapper masa gic ama tin ce sn in nao pedal Decca {ott pacecusalommleedailbpteedeonseeh cs. saris pork rem i et Peete mts sr Seams Se stops oma vs ne i i wer ci i re Aa fot mie hpi Monte aga ence pain Se Koei ae Sail cet > lt ere aparor de cite ribo, Sts ane pi = si dpi der dep ulceos, v2" ‘at hea Lint oe ee iba ese sabi sue gastric arts ms fama saa reset, Radiologie Po" __Bole sparatalel digesty 445 etc inde spre hiouicie, pint ence. Examenulalope deeleac Brnicoss epi sere sorucal ue oevscre nent ‘roi ee et we pt een ack desi See. Tratamend connie inna cor iin aliments Messe sh Hsatla rreeuaesc eve veal incon d confi neaop Bie tent cic dans msn de rina Sever evia buna de Pook cafe ttn, sls comm! rp somal gl Seve ndepra cic Bes concimena acannon cea eps Hee ari inporarprofinticGarve cas vor tate pecs Gist sto, ps ca rin eljren rpc use comes ras roles sre sac cu casei (oxo psi). eamental ara xe de gh cr nba usagi tte Mere osteitis exes cach chimed Amn rie. ir inpaecalnensn commen eo fais etre ements tarsi xan cep Hari cata cca cosa cvs crc ede Saa eae) Banal va i eapina Dia va ma seve ase, spo in ence a emis. signe neva eres echbol plc sent vial Piss rater! meant bzzazh api rnd pe wsine passe Banister oun ctl Cabra Jae, Calin lagna Ht, Bismot subntrc). La aces se po aoge apace in free Me Ferscice apneic pects aaa vor amanda pe fare void clare pepsin fermen ocr nate sie unk Pisevenicraschlizance edt indre mode Iraament gutitlor Grnie dau rere tune agent fi ase solu, ace acu, et In gne, tae medcameror emir rte macocel sau crests uno dtc Se amines anise mal ult et sie, hr ind scr daca ees Su ile Perce Mths chalet atop, Melon Regen, Pangan) {upd (Dogma) dence lvorzeac evecare gstch, Sas combat ef liars comb eo Moremi tre de EetinsucuToro. Labo any se disease lente: Diep, Rade Hiosas © compinae pe a). Pena or exe se floes gta feos (Gh 3 diner pe 2, Bi Ac fol Vain tno psi Gin enn pac, tS esprit ee) omepreal a ses CTraamentlbevear se send ara poate de nazar va 6 a dp ral decid l soul gs Tn omelecu perce supe Sagor Ste Mav Bobs, tn roles, ni besoin aCovas, Siac olor, Zz, Bore. ta iperrafielglane def ea petted. Sndomal Etlgon cleo form de bipereoie de macoah ani de naturd446 _Medicing interad pentru eadee medi ‘homonal cu creer mari continue de HCL, ulcer gastiee tumor de paces Gast p some operat isan ilanaiauor fst sever, Str fs Intestinal in stoma! wnat empl pei poate ulcer, 452 Ul gested seo bol cacti rin opal cused pe som, pe ether» donde rn ron! tsp se anc aa {Emoto somal pet Cl se mans pin sameeren ‘cringe dewmna detours ntl, cao auc bl ates mat malay tee: = cra eli ab fares sere aor bore ea in perl omacsoaldusonl nas inerspuie are eka een tor spa ar produc acu sland peste cae sine crams era meconictssinec icmuntonel ce sea sips me usa espnnine de omc lor pol ae ese earn ‘recent sles pe mis cut uc tera ian, bap bat ck eS sf acne ‘sie ch aia pomp wdc ses ewer _ ria chopper eh nd sar pods pt esc aes Imes sob asin scl gus ak domino a = ers neu oi de cntaaren at aie spond bance peace nic spon abet ae ene secon Jn pest se cose en ses ee tag \gastro-duodenal apare cel mai frecvent la viirsta de 20 - 40 de ani Seen tod Saregama eens ete ance rere) cesta Rflunal dundenegass bl fsa in tomae) induce ulceal “Tau sub rezervadesoperii recent Helicobacter pyr Este canon nleru de aves anute oli. Atl ler gst parcel mai ctrgimca anor, pipe mica curb tal arp carta pomaren spe cee dou et: lel duodenal se localiza cel mai des pe bul rar postulbs Sinptomele ulcer gsstro-duodenal sunt caaceritice, le itd singre diagnostic Sopa cel acon cara mod cbse pe tay se pezne a med, este duces. Ascata aro loalizare ete inten inst deo Sezai de asad descr iad in Sed dover pares abo eS cu eda ulcer rere alice superior eign sun sting inl inediane a pip iin eicbreloe Ty Ty oracle) et nln in ulceral mic crbarit astomcoli urn localiza in dep line mediane, eu adie spre rebor. ‘Son dep sun rapa verbrelor Ty ~ Tp apaemulctele loalizate pro hndchal nesta Grr este mae ules in ulerel ec, cae ntteseas fi serous. Caractere msi prio pe care Hl are dure ete periodic Uhre apartnperode de -3 spin, separate prin perioade denise nea: ‘elma ue linge de dare chiar dak na respon epi almentar Desc ‘mai mule or. penoadele durerase apar In cursultoamnel sau al primvers (perndctae sexier, sh pt prea gin ale sezone; pe misur ce boa sc ‘onicicak peiadle Guerase devin rai unig mal dese. Ua alt carctr si ‘err cont apa are un ri oar apart uorele esi Uneor, dares ‘spare media apt asl (ree pecoc) ca muleeelocalzt juxtacrial sas emia cuburl gastric: acer, parla 2-4 re dup mas rere tar), urs ‘sinsimpi in clzare loroduodenalé cera Uneo diene acm ze mir np au elt orl 3-4 diminej (in ler dena). Tn ate zu Se lcer duodenal durre pate se isteach deo sensatie de foame (0m ‘reo. In gnc darted ler arto-daodena ete calmat dene > almene sau de biearbonst de Secu te aeain) Pe miss cf ulcerl devine croc 31 392° Tezunle de pergasri sau per oodenit, deren devine aproane eanen pvidiitate rar vind tend fie mai putin. Senza de arsurd retro. sternal prot een ser Ses Innit, care uneor Inlocsiest= darere re un earacter ric petiodi, De asehenes, rai pot plea ect aide, gst cr ‘nari gu arse, nd apr, sot de bie postprandial, precoce sa ‘aie dod lear pas oda eal fie dt iat de mese mai copiose. de ater dela ds, de concur! Je ‘nur aleotce. Virtue conn sliment, sant abundente ys m0 ei neo boll eit sue gate pur O carats * asilor este arse stemuca Fig 4- Ulcer gastric gant mit ‘curt 4 zt ig. 6- Ulcer gasve benign cu nig pe mice curburd eres, descr chiro fac sip ety pen cae ui bln prove sing varsturie Pofia de mincare enor Pescth ses bone! sade in ee Paton periondcle arrose ise pune Ew minis, acasa mos nti Prinpierdere spel, ci prin ren de inc, pens anu ave er rained obit arth de biel B sare generals bund; uncon bolnal presi, poate of ma selinsi, Bb sib fulburis de somn. Examen lbomensh nasa a nspectie emnedeosebit, ir la plpare poste sexist 0 Ihre epigasick ac care mune oer ate concluent. CExamona sucue gas aro valour al mare cod ese feu cu histaming ete eile aii io mq) sunt eoroborate cu canine de leh peor aids chil ai orr In general sales hiperacidtate i hiperccretic peer dooce! tel plc in alerl gas exist normoaciitate a ra Fier-sabpoaciiste TBramurat radiologic exe olignori in ler wasiro-duodenal, ial nevoie Brena Sr dove ek ess examen adoscopic na este stint, id eset an gatnenreiografic co cnce rope (serografie). Exist situa Mia cama! iilogc aces flute sor probe fannacodnamice petra Tamerol mdialgic ne poate fei seme dete de ulcer su seme emul radologiedvet ee niga, arse rei cao umnbe in ps pe Fig. 7-Uler duodenal pe fata anteioardabulbul4S0_ Medica intern penta cadre med cara somacsi su pe duoen; cad ete viet din fa pare c4o py ‘essen In jorge! ap 2nd mai lr determina Se eer. Sorc: ‘lope net st presen uno pi converge ale Maco ie Spool usa entice mig in deet care etl Se ni 9 ‘Searceale, alee, cae defrmean contre normale. fn weal gst ‘Spence de obi pe mica utara are edi erese, pnt idee complet, n-an ital 3-4 spin. Cd me dispre {es ai, devine suspect de ulcerae malign. Ulcer daodenal proves ‘Ses manele proces de cesriare cre moet aspect bulb dns ere foe: "wet "ican, "tea" "vera. “Gasroscopi een earen il pen prcizares wor agnosie sai les ld ete wort de Denigntata sau maligna un ee. Gast ota ac exe lea mpeg permite iosiaprinvrlizarea ics {examen cislog: Una examen rca in ola leon ete cer Jemorapier oe a materi eae (Ale, Weber); examen ete conc ‘om act rxin toast de sbgere eines ctl digest 9 Sates sn rem aati 3 le xara oe po np ‘oltvd seal ep muti agnosie Diagostia po Soro bese apo od pe enamel le, ee ene js ‘al moran: Diagostcalva ne de edna nearer Disgwotcal deena se fce cu uote ti ‘Gast conc, bol ou evolu mai capcios, fn ere deca ac arate de peroinateimiiaty sid mal persistent, Examen ss ‘sti rat ponies tomoaitte mcs ciate aso ‘tamer ali ies ni fmol catia, pind oar ii le plarlr macons ancera! gare apare mai event dup vrsta de $0 de mi boa sx uh ‘nto ma scar, apt este scr pt Ia inapeten bolnaval sabe, dress ee SE de ee eee 3 me cae raneorarces te poe J sine dace pat co predomind ta hipocondrul drept , spre epigastru gi ma Prods al pos nso ler duodenal, Bolnvicu dudes tire tammemrmemtuntnsatess ia aan na tana a oo! ‘emia tint once ee enn ‘eiponsbil de pari seri Seca as... igentiy 481 ecren drat ma idcngns Secrest eno Ulla onulbu. Tratamertlese chu gavrecone) expan tuner find po peimponiblt. Ulcer gasro-duodena ar o evolu eaacteriath pein aera delordureroase cx percde de linge. Pvenele cu manifest durroase Pint determinate fe de spar leet, fede reradescenja una ler cron. Deere croice, cv cicatic, cel pentane, cle alate per mitten, d= eile devin continue i rispand pre a tatamet. Compile modified about Pinca ol, upd cum se va veda din cle ce umeazh CComplicaishemoragi gato duodenols ee complica cea mal fecventS Bulcerligasvo-duosenal Hemeraya acl este unser ogni al oli uls= oases ebui consider depo complica, Hemoragia acu constitu sl Bs ieee ra grave complica ale aces bo Hemoraiauleroas poate ves noiare dine momertle evolu ler aso-dvodenal. Nusunt rae Bi escurtencareheroraga ete pina manifeare x bol se ipl, neo ea Desf chiar singra mantesare Alcor, bemeraga pat fi declan de fei Maer: mes copiose,abuz de blur slot, bl inercurente, taumatime PT dorizale sont gave, cxanene adolopice, ols unr medicament ca acetic arin} cozoiee fefbtazon- Hemoraga se manifest Hematemezi si mcend. In bematemerd, sngee prove din stmac ae © sie acs neo rogioaeag. Single poses fe sana amestecat cu ffeurevralimentare ncaa de hemor man, fulgerttoar, singel fai io cule rosie, de singe proupat Cand singerarea est al mare $6) spare ceo, cae precnhcauntenun craters, de consistent sau pins, cu spect xemandtor cu pcura saucy crema de ghete de cag, Cind bln just male malt desere un asemenea te bine sls proceeze lu ot eta Dup cum cantiaten de singe pris Hemera ete a il su msi mare, corsa la bologi seme Me dete gc. In bermoragile mai mic, bolnaal prez o sae de stl, pours eepii abc Inca emoragilor mar, area Mote fur lr boll ear poimi, ans ee abundents, eck plots accent, pls fate apd lb, seer tension ‘Co se pire o casita de slage ni are de 300 mle instal i care va creat cu jutrl hemograne, prin rmdsies hematocrits id bemoglbing. De sexnalt dap hematrez fi meen = acd ec input dureous- dul slenueazd sau dispar inzilele uat- complicated tema boli erase este perforata pert “Aes compli se inlet al ecvent fre 3050 dean ul al det bru deci a ferme, Localizaen duodenal pare ma a perfor deci cs guste. erforaiase manifest clini extrem de Paolo scorn md brseo dure violent In epigasy, Gree ase. sap “papal dee” sau Toviurd de punna” care deplete fy nent darren uno de uleeros. laa se feovons 6452 Mecicind intern pentra cadre medi peeing il compene pe sheen. Duel patra ina Saas cat tabdeccee Lacoamenal bis const ot ‘Soc csc nla plore, wasp et extemal pu Spt ep tmpecpeblsekdere eons Semis cle (egos sagas comeen soomnane persis sboninal ee eset comme pipet opreremaccalaDcommncart “deena” rlasingers Speen pence reese excel (peer cane) in cr ‘Seer concurs ends nreg perl sbdomial Sema os ‘Scone depocempettes sper ap mai pate apres Neer trettagn tom comeing Latcadral eee (carers eh andl dtc Doupla Tempera pots formal sat ‘Sir peer nr pede cee rss petal, tempera (pe Lemctns neds npt la cere OD00-DOOO capone Eve are cle sacl al In 6 ee clad ae conta nl! ii eter, cu ugh, cca varun,balnae sare fs ‘Serwecince incom incre srt ger palin colp E03 ‘sui cnd pera ne icp ectptaepddpsionn sa aosee ‘sb suc pooroe eopert. Diba neta vole co comet oh ‘Senin te ce reap e on abs lean el mal aus does sudo ‘Sees oc local neal ae asue feed @ pec Sace pres ‘sent e uber lune sopra Malta acs es posts evn = ‘eos ca posse adie tue pols pe gal prvnoce © peed ‘Bscraion oak propeaese pre pace wane. Acc bola! eve Smeg peace com drape pu snes srs ‘Spenten inter emule de pe. Mw a fcr ida eyes cs ‘Sic cd mio o perineal = hee edisnenc Morin ‘rps sn le ack amen disope cu lt tra Ue ero ‘Btls ae crept ant po tesa ese aie ipo el nn ae linc ppm an (ater 9 pte Amer cece er Bolle aparatula digestiv 453 Ppigstrce cu caractr continua sacar o senza de plentuding firmed “me se somes” are grein, reguri amen cu usar. VArstle opureari, ia wscon ior ce sonora progrescazh, itil devin ms abundenc coma restr de lmente consume eu 6-12 fens chiar 2-3 ile mat ina Polar ase mai pot ri dete ice, libel, se desidratears, sera st, devine lige, sarea general se altrezh parocnne de lcaloz (per HC) poue se salcze ouremieexrarenall. La ramen obit aver dea ace unblnayemacia ss, atone Lacxamenal Abomenuluse obser uncorincpgasa mycin porsalce al stomaculi se Spine inevidoclaposolepgasn,incazunl avant, se poste constatao mare Gate a siomaculss. Pens preczrea diagnostic, mods cea mat bund ste fetamensl adilops, cre crdenjasun stomac dat cu mul cid de eee pe Praca cu aspect de ful care cad uneor cu rer sinentre.Substans Ionat se depune I ind, nd wn aspect de larfre;peitatsml stomaculh Tse vir preeraaetpersain ete conser cau ea sigur de senoch TEzamenul radiologic face repeat, afer terval de tmp, pent ch poate tt rena bran stoma pd a pst 24 deo TP Metgncorec tutor mt de sor aligizarea cera gsi i Taide a fort de In ncep un cance ulcers chest orb de pari une Ueneatindependent de ulcer, Aly ator admit ulcer benign al stomacui se (Poel oi asin ocalsle porn ont carbon. pe arta Peters curr Ne vor ging ponies cancer uicerli gate clad simplonele. gu croterl de prodisiae emit ale drei, apes bolavel bry, devine aemic, ree VS.H,; end examenal onc uathotecee se ana cld, dup un tame cos de xatenal railogie nue rts ameliorara. Penta pcan Mera gore care prc cl pasa, inpneprecares ss Fe tr ded ctl deal 0% nl lear) cued noe a5 de wr 20% dine crus och cu ema unde id cathe ne oven normal a a pain gesanes crepes aim sce bro ema sat cus ace gaol se Bec pe prcue ee Sane Rimini pence dear ee mn pan iment uur wid ee (ones dares a este ec Sc naca lle char ogee rec ler gst dae acters maopi dn hpoonial ee). sets Gaps ts vr) srt event Fore Pine siren odalope ls Geni predomi semele454 Medicinginterad pentru cadre medi stein npc soil cron Sign nr: ec Speen ered peciemcGgeteigs Nar mats ee iep aetreiern polar ereangie aac nos 008% pecans Gago) Nebenin ‘ese tase pie tsi ese cer cx ‘Nerf ae wait nhs epi sds Pale prover pt mi foal nh distant in ga maligna peek me xan eno bp tiv i st ; bioptic xi citologic (citologie exfoliativa sau din suc! aaa eeprom ci i aa ae # in alte boli. a lps el pln pn mainte. Tata secre psti ee sedate cll daodena: Eun nce parca, ul a sn sir, sal pucment es opens ‘towels eines nat ems aoures fs ‘tytn sear eects eouaelgcacepc os ‘he (Cin) Rain) wl Seal boo ‘cela Cube dg Meco ‘atonal raya elas ee mei chine Fee nce papery ec = Ee attests = ‘ete rene pulp oe pte escod one servindus nouptea. Ament de bed v8 re; vabea lpia culate 32 sige toon pe et re es cna ame sap Tet sem ‘Sgn Renae reaper cingnoue pene dee ae ic, pa Sine pepe ea ema et |‘ i i 455 Bolle aparatul digest scalar sab de vcs (dar nu supe de cme) vil pase prepara fia, laa, vd, pis), preparatrasol,prjoare in abu, papanai fit Bareavatur ete morons, pane, devices) mere pre coupe, mere at, cree Gelape ov, creme cu fret. Inprcadele de nt eva fine seama de protctia fpucoese gare; deacon vorf excuse din almentae extracel de care (507 Ubseare) sini, metric, borg, gis rij, somal cu rnin, cepa, ondientee,conervele, stro leumioaselewcate,cupercile alimentle co sls goselan (gli ich bane), brnztr fermen, str, marie, esl chinese, calaun,cicoata,dulialeconcentae sop, mie, mamelad), Dut alcool, fon, Pepsi-Cola, imonada, Inge. Farman est ners Sept flo scondimentreirtante (de cxemplacimbr, hon chien, vai) Gfrtamental medcametos a ler pasric Guadenal utilized o gam lags e droga, panssmeselegesce gi aniacidelereprezetind, ca 9h fa tecut testament de bars Mimiacldte sun substi care ewrlizeszh cial clr, amelioreses voli leerssi i speci cel duodenal 9 gribete cistrzaea nigel. Se deose- Irse2 prope staid siremie (absorbable) din cae face parte bicarbonate de adi since (cre nase aon), dia cae fac pare earbontal de clea, url de magnezi de alii. Bicarbonate de sod, liza sta, ete Iemaindiat deo rca de pene secandard de acd clr (enomenal Mrbound?) dar spss efectele sale secandae sealer, aotemi, hipeeasirc, Defocicinor) Dare acide in absorbable, wl ne cel ma importante Tee carboatl de clcin, Acosta seutalizeazi timp indcongat acid clr [Struc de macnesiv (xi, bidronidal seal) sunt de aemenesutiate coven dey strane deluini (0, idoxid carbonara silica). SPaosamentele gasrice sunt scbstnjeabsorbante i protetonrs ae mucoasei Tpitete cfc mpon. Cee mu floste wnt rule de bismat(ubai- Cadbonsl, silica, shaninocarbonstl, ec) In dod mic (Sg sunt con-486 _Medicind Intern pentru cadre medit mos praia in xz de due. Phosphaluge este un fof dessin, ‘Ate prepare farmacutice sit: Almage, Gaxtrbot, Gascon gi Cols. ‘eee ce priest fone, al dea mile trapetc mao, se amin ttewcl coo jumdtate de ork inte de meae. Dine acest, cele mai fice hie sant: eroping(Usadonal cone $f atopind, deriva de Bead. (oladon, oben) scobui,echvaleat al buscopanull (bromur de bu Scopolmani); Pr-bonne (roar de proentlin; Hekamon (echivale: 3 ‘Aatenyal) ec: Antagonist receptor hisaminic H sant medicamente mas ‘ect ita in wal elit. Aceseaafineaz prin compete cu hstarvia, Impeicind seca de HCL. Dine aniistainice, dou peprate sunt fee zat (Cmeiina Rann) Cetin (Taare, Alvamet) re 200 rm compra seadminseaa un comprimat inaintea meso pica, dou is ‘oleate in toa), 4-6 spin Nuare conidia est wl n spe in ‘eel Goode daria cel pst. Randa Zana, Geta, Ransan ete ‘inst n dvd de 30 mpi, 3 spd are fee supercar Cimetiin: Metclpramia (Regln, Primera 30 mle un medicament de az in ‘ramet leer gat dbodena. Ameloneard evecare prc rela ‘iodeno-gasi se dita 3 compen Se pare ch lett ese supe: ‘i lel gas, unde se adminseaa Iai meslr principle combs ‘cule visti Ese conrindcat ascieren seu sop. Aetazlamia, hibit labia carbone, din eee de HCI. Se ‘sminisnectpepareal Eten, 32 comprinutlal de 250 mg fies. ‘Aliemediamente ilztntatamentl past i uodeal sun _Sprids (Dognati pop ere coleark titan ful sgn ssl 1 comprimat de 20mg) rand np cop te detalii’ seo * Carbenatolna este ler gat. Se adeinisrae le Deogasone 41 ep Inne de mese6 pind, a = Bonu ola! 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Commplicaile Atamentuli chiral sunt: obsucaanse\aferemt,gastitt de refx ili, IGadrom dumping. neni, sndoma Zolinge-Elison, malsbsorbie et. 45:3, Sidon Zoller son $a descr Fini mar Se vs las coniderare ature! end ulcer duodenal (peptic) se sever, refrac atament cand se asciz co ulceeeufoeaizi Tice su cinres, Tumori de biel pancreatice sau duodenale, pot fi mutpe Cocastevindadescainpnglion fate, “itameatl sbazesz pe omeprao,oalizaea tumors fae pin hasan englgrafi slit cod este pos lpartoc exploratory renecin i pimare a metasasorsltare Chinitrapia este il In 4% inca 454, Conarlgose © ste una dite clei feevnt lei a bol cancerose ete acen de niet gas Tn cal tamonlor maligne, problems cea ma important est (3 diagnostcull preoce “Piopsgenia nu ee enosc. Se poate vorbi numal de factr favoiant Saparfa bce de aj-tacle "ote pecancerose™. In cara cancer Mba rologce care hebuiee ne saph stoi, penta a examina mai dispar ones plpza psc, tumor benign le omc, sa ales gstria aoc, ler gasie anemia Bere. strchoues cael geste are tai foevet In birt deck a feel, de supa 40-48 de a. “Cancer anti clcaizeu de prefer fn regiunenano-piloried i pe sur. Mai rar se deavoks pe eunen cade i pe marearuberonitats Toi opre sub te fome pica: epetant, cert, diffi, hata canceross.Tumoareacanceroast nu selimitea in tiny ie soma i evanseai prin catre in coninat, la orgnele vie: Tmt, ove pocea, fest vericaa bila exo eipoon, rsa cancers se pots general prin metatze Is dst, pe cle su pe cae erage, tl ncimincecs in aligiar, consol exagerat pet aimente