Esophageal Ulcer M. Endo 1 , F. Hanyu 1 , S. Kobayashi 1 , M. Yoshida 1 1Institute of Gastroenterology, Tokyo Women's Medical College pp.705-713
Published Date 1976/6/25
DOI https://doi.org/10.11477/mf.1403107285
  • Abstract
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 Clinical study has been made of esophageal ulcer. Of its various possible cases, the most common one is of peptic nature associated with esophageal hiatus hernia or the short esophagus. Clinical symptoms include heart burn, dysphagia, retrosternal pain and epigastric distress. But they somewhat vary according to the type and site of ulcer. For instance, ulcer in the lowermost esophagus near the esophagogastric junction often causes dysphagia, while ulcers extending widely in the lower esophagus is responsible for heart burn and epigastric distress due to erosive esophagitis, and ulcer restricted only in the midesophagus causes pain at swallowing. Diagnosis by X-ray depends not so much on demonstration of a niche as on indirect signs. Endoscopy reveals less rugged changes as compared with those of cancer, and ulcer is characterized by the absence of any proliferative changes around the lesion. Internal management has priority over other therapeutic measures, but when ulcer is complicated with bleeding, stricture, etc, or when the clinical course is prolonged with severe signs and symptoms, surgical intervention is in order. Of our experiences cases, we have described here an ulcer of the esophagus which was later diagnosed as cancer. The relationship of ulcer with cancer still remains a topic of further discussions and investigations.

Copyright © 1976, Igaku-Shoin Ltd. All rights reserved.


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