Introducere: Ulcerele Cameron se întâlnesc relativ rar æi sunt cauzele hemoragiilor digestive superioare severe sau oculte. Leziunea
Cameron se întâlneæte la 5% de pacienåi cu hernii hiatale investigaåi prin FEGDS de rutinã æi frecvenåa leziunilor depinde direct de
dimensiunile herniei hiatale. Scopul acestei lucrãri a fost evocarea metodelor de diagnostic æi tratament al ulcerelor Cameron cât æi
a rezultatelor tramentului acestora cu prezentarea cazului clinic.
Material æi metode: În IMSP SCR, Clinica de chirurgie Nr. 4 în perioadã 2007-2017 au fost internaåi æi trataåi 7 pacienåi cu leziunile
Cameron. În 3 cazuri pacienåi au fost internaåi în mod urgent cu tabloul clinic de hemoragie digestivã superioarã severã (HDS), ce
constituie 0,6% din numãrul total de pacienåi cu HDS (528 cazuri).
Rezultate: La toåi cei 7 pacienåi, la care a fost stabilit diagnosticul de ulcer Cameron, s-a depistat hernie hiatalã axialã (HHA) de
dimensiuni mari, fixatã, ce constituie 2,5% din numãrul total de HH internate în aceastã perioadã. Toåi pacienåii au urmat tratament
medicamentos cu IPP cu o evoluåie favorabilã. Din aceste 7 cazuri, 4 pacienåi ulterior au suportat intervenåie chirurgicalã antireflux
pe cale laparoscopicã cu rezultate bune, iar alti 3 bolnavi urmeazã sã fie operaåi. Concluzii. Leziunile Cameron sunt complicaåii ale
HH relativ rare æi se manifestã prin hemoragii digestive severe, sau oculte. Identificarea acestor leziuni necesitã o examinare
endoscopicã minuåioasã efectuatã de un endoscopist experimentat. Tratamentul conservativ prezintã o etapã iniåialã æi necesitã o
rezolvare chirurgicalã ulterioarã.

Background and study aims: Cameron ulcers are a rare but clinically significant cause of severe or occult upper gastrointestinal
hemorrhage (SUGIH). Cameron lesions were reported to be seen in 5 % of patients with hiatal hernias who had routine
panendoscopy and the prevalence depended upon the size of the hernia sac. Our aims were to describe the diagnosis, treatment
and outcomes of patients with Cameron ulcers and clinical case presentation.
Material and methods: In the IMSP Republican Clinical Hospital, the Department of Surgery No. 4 over the past 10 years, there were
hospitalized and treated 7 patients with Cameron ulcer diagnosis. In 3 cases patients were admitted with severe UGIH, representing
0, 6% cases of 528 patients with SUGIH.
Results: In 7 patients with Cameron ulcers there were diagnosed large hiatal hernias, which is 2, 5% of patients with hiatal hernias
admitted during this period. All 7 patients used IPP drug treatment with favorable evolution. Of these patients, 4 patients underwent
antireflux surgical treatment by laparoscopic way, having good result, 3 patients will be operated later.
Conclusions: Cameron ulcers in large hiatal hernias are an uncommon cause of severe UGIH or obscure GIH. Identification of these
lesions requires a thorough endoscopic examination performed by an experienced endoscopist. Medical therapy is an initial step of
treatment and requires a subsequent surgical treatment.