oexistence of Early Gastric Cancer and Linear Ulcer: Roentgenologic comments H. Shirakabe 1 1School of Medicine, Juntendo University pp.1019-1023
Published Date 1973/8/25
DOI https://doi.org/10.11477/mf.1403108581
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 Vague concept of the study of gastric deformity

 It is true that gastric deformity was designated by German roentgenologists in such various names as “schneckförmige Einrollung”, “Beutelmagen”, or “Senkrechtmagen”, and Prof. Takemoto once described them in this journal. However, such peculiar descriptive names have been employed in the past merely as a conventional way of describing the classical abnormality of the gastric contour without any independent importance attached to it as a roentgenologic finding. I think it is what was naturally to be expected, because at the time when these designations were first in use, mucosal relief picture was in most request, and deformed contour of the stomach was not fully utilized for an important landmark to the diagnosis of gastric ulcer. Consequently, it was not much disputed. Clinically, however, the peculiar deformity of the stomach demonstrable in barium-filled picture survived. Nevertheless, coemployment of barium-filled picture and double contrast view had to be established firmly before the study of gastric deformity can become an independent branch of diagnostics in the diseases of the stomach.

 The same can be said of the expression “ulcer without niche”. For clinical management of gastric ulcer, x-ray finding of niche was regarded as omnipotent. I personally feel that too much importance was attached to it. Indeed, so much so that the reality of “ulcer without niche” was buried in oblivion. There is enough evidence to corroborate this neglect. Clinically at least, there are indications that gastric defor mity was dismissed lightly under some other expedient diagnostic names.

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


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