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Japanese

Endoscopic Study of Hemorrhagic Erosions of the Stomach and Review of Literature G. Aono 1 , K. Takezoe 2 , Y. Jojima 2 , S. Ukawa 3 , H. Kurosaka 4 1Nakasone Clinic of Kogota Town 2Department of Surgery, Univ. of Tokyo Branch Hospital 3Seisho Gastroenterological Study Group 4Kurosaka Clinic pp.1455-1460
Published Date 1974/11/25
DOI https://doi.org/10.11477/mf.1403112138
  • Abstract
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 1) 130 cases of hemorrhagic erosions were analysed in regard to its endoscopic appearances. In addition, an extensive review of literature was made concerning hemorrhagic erosions and simulating conditions which were appropriately named by Katz et al. as acute gastric mucosal lesions (AGML).

 2) The cases were divided into two groups; the acute epigastralgia group and the chronic symptom group. The cases associated with the other illnesses were separately discussed. All cases with acute epigastralgia were detected in front clinics only, and mostly among younger generations but not rarely in the ages over 50. Male predominancy was apparent. Occasionally the condition persisted for some time, but required no operative treatment. The chronic symptom group tended to be found in older ages over 40 and also predominantly in male.

 3) In the acute epigastralgia group, the erosions were linear, or wide and irregular in shape and were mainly distributed in the antrum and angulus, whereas the chronic symptom group showed spotty erosions and wider distribution but mostly at the angular portion.

 4) Hemorrhagic erosions seemed to occur in the endoscopically nonatrophic mucosa.

 5) There was a case in which an apparent polyp developed at the site of hemorrhagic erosion.

 6) Recurrence was encountered in only one case of each group in our series.

 7) Coexistence of diseases of the other organs should be carefully ruled out. In addition, differenciation from the other gastric diseases such as advanced or early gastric carcinoma or sarcoma should be done with great care.

 8) It was surprising to find that endoscopic descriptions of similar conditions dated back to 1939 by Rudolf Schindler.


Copyright © 1974, 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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