Endoscopic Observation of Acute Lesions of the Stomach T. Shirahama 1 , R. Sato 1 , H. Arikawa 3 1Central Hospital of Japan Self-Deffense Forces 2Sugiyama Hospital 3Arikawa Clinic pp.219-225
Published Date 1975/2/25
DOI https://doi.org/10.11477/mf.1403112178
  • Abstract
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 This report is based on an analysis of 28 wide-spread irregular-shaped hemorrhagic erosions and 15 cases of acute multiple ulcerous lesions of the antrum.

 (1) We classified endoscopically hemorrhagic erosion into four types; varioliform, punctiform, linear form and irregular-shaped form, and in our experience only irregular-shaped one had a tendency to progress to acute multiple ulcerous lesions of the antrum (11/28 cases).

 (2) Fifteen cases of acute ulcerous lesions observed at the first endoscopic examination might have been seen as wide-spread irregular-shaped hemorrhagic erosion by an earlier examination.

 (3) To know the course of the lesion, it is important to perform endoscopy from time to time, because the picture shows daily varying findings.

 (i) hemorrhagic stage: The poor distensibility of the antrum due to edematous mucosal surface with diffuse hemorrhagic depression and whitish and yellowish coat are seen almost all over the antral portion.

 (ii) acute ulcerous stage: The acute ulcerous lesions, punched out with irregular circumference and uneven ulcer-floor look like Ⅱc type gastric cancer.

 (iii) scarring stage: Rugal convergency becomes striking and elevation of mucosa resembling Ⅱa is seen at the scar's end of converging folds.

 (4) The differentiation from malignancy is not so difficult if done by gastric biopsy, analysing clinical aspects and observing carefully the endoscopic course.

Copyright © 1975, Igaku-Shoin Ltd. All rights reserved.


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