Hemorrhagic Erosion of the Stomach H. Onuma 1 , Y. Karasawa 1 , H. Suzuki 1 , A. Yasui 2 , T. Murakami 2 1Karasawa Hospital 21st Dept. of Surgery, School of Medicine, Juntendo University pp.25-30
Published Date 1973/1/25
DOI https://doi.org/10.11477/mf.1403108339
  • Abstract
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 “Hemorrhagic erosion” (H.E.), studied histopathologically in the resected stomachs by the authors (Murakami et al.) in 1960, has been difficult to demonstrate clinically. However, we have encountered recently by endoscopy more than 110 cases of hemorrhagic erosion during the past 7 years in Karasawa Hospital, Asahikawa.

 Most of this lesion was found by immediate endoscopic examinations of the patients complaining of severe epigastralgia or hematemesis. Histopathological identification was carried out between the blackened areas in hemorrhagic erosion and those in the resected stomach. It was also found that those blackened areas were not due to adhered coagula but they represented coagulation necrosis itself. In 11 cases distinct erosion or ulcer was seen to remain after the blackened spots had fallen off. On the gastric mucosa other than the blackened areas were also seen such pictures as desquamation of the superficial epithelium, its disorderly hyperplasia, exposure of the lamina propria, outflowing of exudate, marked cellular infiltration and dilated capillaries, all compatible with signs of acute gastritis. These changes were especially manifest in those eroded areas where blackened spots had fallen off.

 In one sense hemorrhagic erosion is a super-acutechange that precedes gastritis and in another it is an acute change appearing side by side with acute gastritis. At any rate, hemorrhagic erosion is a fundamentally important change essential to the understanding of acute lesions of the stomach.

Copyright © 1973, Igaku-Shoin Ltd. All rights reserved.


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