雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Diagnosis of Duodenal Ulcer and its Problems: Concerning on endoscopic diagnosis T. Sakumoto 1 , E. Okita 1 , T. Kurihara 1 , H. Okamoto 1 , Y. Miyoshi 1 , H. Kojo 1 12nd Dept. of Int. Med., Tottori Univ. pp.1593-1599
Published Date 1973/12/25
DOI https://doi.org/10.11477/mf.1403108408
  • Abstract
  • Look Inside
  • Cited by

 The results of endoscopic diagnosis in 448 cases including those already confirmed as duodenal ulcer by roentgenography, those in which no definite change was noticed at least in the bulb and those in which emergency endoscopy was performed on account of hematemesis or melena, are as follows:-

 1. Diagnosis with endoscopy mostly of the bulb was successful in 98.5 per cent.

 2. It is now evident that in the diagnosis of duodenal ulcer especially in ascertaining its stage, endoscopy is a procedure that can fully supplement roentgenological diagnosis.

 3. Each characteristics of forward-viewing and side-viewing fiberscopes must be fully grasped for their proper use depending on cases to be examined. It has been keenly felt that this attitude would greatly aid the endoscopic diagnosis of the lesions in the bulb.

 4. Forward-viewing fiberscope (GIF) was effectively employed in cases of active bleeding from the upper digestive tract and cases not to be examined roentgenologically. The same was true in bleeding duodenal ulcer.

 5. Various stages of progress in duodenal ulcer have been divided into four on the basis of endoscopic findings: acute, chronic and healing stages and ulcerscar. Linear ulcer was intractable.

 Problems waiting solution in future.

 1. The duodenofiberscope currently employed has still blind areas within the duodenum, so that endoscopy of the bulb cannot dispense with the help of x-ray. Further technical and mechanical improvements are essential to perfect endoscopic procedures in the examination of the bulb.

 2. In some cases linear ulcer was difficult to differentiate from multiple ulcers, nor was it easy to do so from line-like ulcer developing during the healing stage of solitary huge ulcer.

 3. Concerning to the problems, whether salami-state of the mucosa and irregular shaped ulcer are characteristic only in the duodenum, further study will be eagerly awaited.

 4. Endoscopic criteria of healing in duodenal ulcer are commonly based on the disappearance of white coat over the lesion, but some cases show marked reddening over the ulcer scar. At times thin white coat is difficult to discriminate from discolored mucosal surface. Reevaluation of endoscopic pictures is desirable substantiated with histologic evidence.


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

基本情報

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

関連文献

もっと見る

文献を共有