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Screening of the Upper Gastrointestinal Tract Diseases in Practice: From the viewpoint of endoscopic examination S. Ohshiba 1 , O. Masamune 1 , I. Hirata 1 , S. Watabe 2 , H. Masaki 2 1The Second Department of Internal Medicine, Osaka Medical College 2Department of Internal Medicine, Hirakata City Hospital pp.41-48
Published Date 1983/1/25
DOI https://doi.org/10.11477/mf.1403109236
  • Abstract
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 We analysed a diagnostic value of both x-ray and endoscopic examinations done at an interval between a few days as a screening tool to detect upper gastrointestinal diseases. We reviewed 1,222 cases for this study. Each one case of 60 cases with advanced gastric cancer was misdiagnosed by both initial x-ray and endoscopic examinations, respectively. Sixteen cases of early gastric cancer were also misdiagnosed by initial x-ray examination. X-ray diagnosis of these sixteen cases was as follows; two of gastric polyp, five of gastritis, three of gastric ulcer and gastric ulcer scar, and one of duodenal ulcer. In each one diagnosed as gastric polyp and duodenal ulcer it was impossible to pick up any lesion of cancer even by repeated x-ray examination. These two cases were Ⅱb like minute cancer and red spot was the only endoscopic finding by examination. As mentioned above, cases in which the lesion of cancer was missed by initial x-ray examination were very few. Therefore, when x-ray examination was performed under “good” condition and capability to read x-ray film was sufficient, x-ray examination is an excellent screening tool to detect gastrointestinal diseases. Superiority of endoscopic and x-ray examination as a screening tool has been discussed.


Copyright © 1983, Igaku-Shoin Ltd. All rights reserved.

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

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