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Stomach and Intestine(Tokyo) Volume 14, Issue 11 （November 1979）

胃と腸 14巻11号（1979年11月発行）

Japanese English

今月の主題急性胃病変と慢性胃潰瘍の関連をめぐって

主題

急性胃病変と慢性胃潰瘍の臨床―とくに急性胃潰瘍と慢性胃潰瘍の関連性について Clinical View of Acute Gastric Lesion and Chronic Gastric Ulcer: The causal relationship of acute gastric ulcer and chronic gastric ulcer 岡崎幸紀 ¹ , 大下芳人 ¹ , 渡辺精四郎 ¹ , 平田牧三 ¹ , 河原清博 ¹ , 榊信広 ¹ , 飯田洋三 ¹ , 河村奨 ¹ , 竹本忠良 ¹ Y. Okazaki ¹ , Y. Oshita ¹ , M. Hirata ¹ , K. Kawahara ¹ , T. Takemoto ¹ ¹山口大学医学部第1内科 ¹The First Department of Internal Medicine, Yamaguchi University School of medicine pp.1463-1471

発行日 1979年11月25日 Published Date 1979/11/25

DOI https://doi.org/10.11477/mf.1403107816

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Abstract 文献概要
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　急性胃病変の概念はまだ定義も統一されているわけではないが，Katzら¹⁾，Sunら²⁾の提唱とか，わが国では川井ら³⁾がおもに狙っている点を憶測すれば，やはり急性胃炎，急性胃びらん，急性胃潰瘍が中心になる．

　一方，古くから記載されている慢性胃潰瘍は概念的には明確であり，最近では消化性潰瘍として一括されることが多くなったが，その病態生理などに関する文献は枚挙にいとまがないほどでありながら，病因など曖昧模糊としていることは急性胃病変とまったく同様である．

　The occurence mechanism of chronic gastric ulcers-acute gastric ulcer and peptic ulcer-which are said to be the most typical of acute gastric lesions was discussed through endoscopic findings. More over, the development of acute gastric ulcer into chronic gastric ulcer was discussed. For acute gastric ulcers, that of the corpus and the antrum were used.

　From the point of endoscopic findings, the morphological differences between the two were evident especially in its early stage and active stage. And including the healing stage and scarring stage, the differences between chronic and acute gastric ulcer were consistent. Therefore, that their occurence mechanism are similar could not be agreed upon. In the case of acute gastric lesion, it took much time for it to heal. Through discussion of an operated case, it was presumed that acute gastric ulcer on the surface of the scar outbroke. Among the acute gastric ulcer cases, recurrence in differing regions were recognized but there were none recurring from the scars in the same regions and no cases where there were repeated recurrences developing into chronic ulcers.

　Specific ulcers were recognized in those under very particular conditions, where factors thought to be the cause lasted, but these were rare gastric ulcers which were neither chronic nor acute.

　According to results from these endoscopic findings and observation of the development of cases, it can not be assumed that the occurence mechanism of acute gastric lesion including gastric ulcering are similar to that of chronic gastric ulcer and that they exist as a previous stage. If such do exist, they are only under very rare conditions.