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Intractable Gastric Ulcer, Report of a Case: With Special Reference to Regional Factors Yusuke Saito 1 1Foudation for Detecion of Early Gastric Carcinoma Keyword: 難治性胃潰瘍 , 線状潰瘍 , 潰瘍の線維化 pp.363-367
Published Date 1993/3/25
DOI https://doi.org/10.11477/mf.1403106130
  • Abstract
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 We reported here a 64-year-old male with an intractable gastric ulcer, in which we could observe sequential changes of a round ulcer resulting in an intractable linear ulcer during 17 years 10 months. Although he has been taking various anti-ulcer medicines including H2 receptor-antagonist since the onset, he has never found a cure for the ulcer (scarring) at any time. At the onset a small round ulcer was observed in the lesser curvature of the gastric angle (Fig. 1). The ulcer remained unchanged during the following 9 years 9 months, and then another ulcer and 2 erosions appeared near the ulcer. The area including these 4 ulcerative lesions showed discoloration implying submucosal fibrosis (Fig. 2). Ten years and 6 months later a large polygonal ulcer was formed, and then the ulcer grew towards the anterior wall (Fig. 3, 4). Eleven years 4 months later it became a linear ulcer of 3 cm in length (Fig. 5). Eleven years 8 months later it grew towards the anterior and the posterior wall reaching 5 cms in length (Fig. 6). Since then, the linear ulcer has remained open in spite of the patient's taking H2 receptor-antagonist for 6 years 4 months (Fig. 7). Intense fibrosis around an ulcer and recurrence in the anterior and posterior wall near the ulcer play important roles in the formation of intractable linear ulcer of the stomach.


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

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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