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Endoscopic Diagnosis of Lesions on the Anterior Wall H. Tanaka 1 , E. Okita 1 , K. Sakumoto 1 , T. Kurihara 1 , K. Miura 1 1The Second Dept. of Internal Medicine Tottori University School of Medicine pp.1419-1424
Published Date 1971/10/25
DOI https://doi.org/10.11477/mf.1403111524
  • Abstract
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 Diagnostic capability of endoscopy in the lesions on the anterior wall of the stomach has been studied on the basis of nine cases published in this journal for the past five years as well as of 33 of gastric resection performed in the author's department. The results are as follows:

1. All of nine cases of lesions on the anterior wall reported in the “Stomach and Intestine” were correctly diagnosed by preoperative endoscopy.

2. The resected stomach opened along the greater curvature was divided equally into eight parts in the longuitudinal axis as in Fig. 1, and the upper second and third sections were considered as belonging to the anterior wall. Consequently, any lesion localized within these sections was regarded as a lesion on the anterior wall.

3. Of 40 lesions on the anterior wall, 28 (70%) were detected at the initial x-ray. The existence diagnosis of a lesion by endoscopy was accurate in 36 lesions (90%).

4. Two lesions (5 %) in the prepyoric region eluded both x-ray and endoscopy. Another two lesions (5 %) in the oral part of the stomach were found by x-ray but overlooked by endoscopy.

5. Excavated lesions on the anterior wall are often visualized greater than they really are because the mucosa around the lesion tends to hang down, so that the nature of the lesion as well as depht of cancer invasion is often over-estimated. The same applies to protruding lesions as well in evaluating their height and surface irregularity.

6. Not only for lesions on the anterior wall but also for those in other segments of the stomach, endoscopy is still confronted with many difficulties, such as qualitaive diagnosis of small protruding lesions and correct estimation of depth invasion of cancer. There is still many a lesion to which coemployment of biopsy is indispensable for its qualitative diagnosis.


Copyright © 1971, 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

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