[Value of the calcium-regulating system in the development of microcirculatory and hemostatic disorders in recurrent peptic ulcer disease].
OBJECTIVE
To elucidate the state and importance of the calcium-regulating system, calcium and phosphorus balances, their impact on ulcer activity, regional microcirculation, and hemostasis during recurrent peptic ulcer disease (PUD).


METHODS
Sixty patients with recurrent PUD were examined. They underwent determinations of blood parathyrin and calcitonin and blood and urinary calcium and phosphorus levels and studies of regional microcirculation in the gastroduodenal mucosa and systemic hemostatic parameters in addition to clinical and endoscopic examinations.


RESULTS
Recurrent PUD is accompanied by a significant blood parathyrin rise and some calcitonin increase and by calcium-phosphorus imbalance. Impaired calcium-regulating system functions attend significant microcirculatory disorders in the gastroduodenal mucosa and hemostatic changes characteristic of consumptive coagulopathy.


CONCLUSIONS
A clear relationship between calcium-regulating hormone impairments, calcium and phosphorus metabolism with ulcer activity and microcirculatory and hemostatic changes may suggest the found shifts in ulcerogenesis and the pathogenetic substantiation of correction of these disorders may be of importance for the treatment of a disease recurrence.
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D000328:Adult; D002116:Calcitonin / Q000097:blood; D002118:Calcium / Q000378:metabolism*; D016022:Case-Control Studies; D005260:Female; D006487:Hemostasis; D020141:Hemostatic Disorders / Q000503:physiopathology*; D006801:Humans; D007413:Intestinal Mucosa / Q000378:metabolism* / Q000473:pathology; D008297:Male; D008833:Microcirculation; D010281:Parathyroid Hormone / Q000097:blood; D010437:Peptic Ulcer / Q000503:physiopathology*; D010758:Phosphorus / Q000378:metabolism; D012008:Recurrence; D055815:Young Adult
D010281:Parathyroid Hormone; D010758:Phosphorus; D002116:Calcitonin; D002118:Calcium