We studied the dynamics of morbidity of the digestive apparatus including peptic ulcer, gastritis, duodenitis and mortality in the Udmurt Republic from 1992 to 2002. We revealed the decrease of morbidity of the digestive apparatus and stable data for peptic ulcer but the increase of mortality from the digestive apparatus pathologies on the whole and from complications of peptic ulcer. The mortality from the digestive apparatus diseases and peptic ulcer is forecasted to increase in the next years if the same social and economic conditions are preserved and there are no changes in the health-care system.
Gastroenterological examination of 910 adolescents in rural outpatient clinic revealed gastroduodenal disorders (gastritis, erosive gastrobulbitis, gastroduodenitis, gastroduodenal ulcer) in 101 of them (11.1%). Immediate and long-term responses showed that anti-relapse treatment on the individual basis may appear highly beneficial for adolescents with gastrointestinal diseases.
To make prognosis of ulcer morbidity and lethality from its complications for the near future basing on the trends in ulcer morbidity and lethality for the last 10 years; to assess ulcer patients' followup quality and coverage.
Time series statistics of general, primary ulcer morbidity and lethality from ulcer complications in the Udmurt republic for the last 10 years have been analysed as well as expert evaluation of the treatment quality and follow-up of ulcer patients by 156 outpatients' cards and 118 disease histories.
General and primary gastrointestinal ulcer incidence in Udmurt republic in 1992-2001 decreased significantly but ulcer morbidity did not change. Lethality from ulcer complications rose 1.8-fold. The predicted lethality rise in 2003-2006 proved valid.
If social and economic conditions in the republic do not change and public health service reforms remain low effective, further deterioration of the above lethality is predicted.
