Studies on Operated Cases of Intractable Gastric Ulcer Yukinori Okazaki 1 1Department of Internal Medicine, Shuto General Hospital Keyword: 難治性胃潰瘍手術例 , 線維症分類(F分類) , 再生上皮分類(Reg分類) pp.270-286
Published Date 1993/3/25
DOI https://doi.org/10.11477/mf.1403106113
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 Fourteen cases which had undergone gastrectomy with the diagnosis of intractable gastric ulcer were discussed here, especially on their clinical characteristics and pathological findings. Most of the patients had suffered from gastric ulcer for a long period and had experienced anti-ulcer therapy before their first visit to our hospital.

 Macroscopically, these ulcers in the resected specimens showed irregular shapes such as semi-round, triangle, sulcus, and so on. And histology revealed mixed findings of ulcer tissue and old scar. In evaluating pathological findings and staging gastric ulcer, the classifications according to mesenchymal condition (fibrous phase; F-classification) and regenerative condition of the epithelium (regenerative phase; Regclassification), proposed by Watanabe et al, were useful.

 As a conclusion, our retrospective studies suggested that irregularity of the shape of ulcer in the early phase of treatment seems to affect the prognosis of the disease.

Copyright © 1993, Igaku-Shoin Ltd. All rights reserved.


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