胃診断学20年の歩みと展望―ポリープを中心に

Radiographic Diagnosis of Gastric Polyps: A Historical Review of Literature since the First Publication of the "I to Cho (Stomach and Intestine)"

要旨　「胃と腸」創刊のころに話題の中心となった胃ポリープの癌化の問題は，病理組織学的な診断基準の論争のみにとどまらず，X線・内視鏡による隆起性早期胃癌の診断の発展のために多大なインパクトを与えることになった．そして，「胃と腸」が20巻を迎えるまでの歴史は，その後のわが国における消化管の形態学的診断の発展の歴史そのものと言えるであろう．現時点で必要なことは，これまでに完成された検査技術，診断学のソフトウェアを次の世代に伝える作業であることを強調した．

　A historical review of literature concerning radiographic diagnosis of gastric polyps was done by focusing attention on a period from the first publication to Vol. 20 of the "I to Cho (Stomach and Intestine)". A controversy on polyp-carcinoma sequence of the stomach, which has started in Japan about the time when this journal first appeared has had great impact not only on the progress of the gastric pathology but also on the progress of the radiographic diagnosis of early polypoid cancer. The history of the "Stomach and Intestine" reflects the history itself on the progress of the morphologic diagnosis of the gastrointestinal tracts. It is an urgent problem to begin a work for handing down the highly accomplished achievements in the diagnostic radiology and endoscopy to the following generation.