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Endoscopic Findings of the Duodenal Bulb and Postbulbar Segments at the Time of Hemorrhagic Erosion of the Stomach Y. Karasawa 1 , H. Onuma 1 , A. Yasui 2 , T. Murakami 3 1Karasawa Hospital 2Dept. of Surgery, Juntendo University School of Medicine 31 st Dept. of Surgery, Tokyo Medical and Dental College pp.531-536
Published Date 1975/4/25
DOI https://doi.org/10.11477/mf.1403112307
  • Abstract
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 We have encountered during the past ten years 350 cases of gastric hemorrhagic erosion (H. E.) to be regarded as either manifestation of the climax of acute gastric erosion or its antecedent lesion displaying black spots on the mucosa. Of these, there were 66 cases in which the duodenum was additionally observed by endoscopy. In 14 of them black or dark brown spots were demonstrated in both the stomach and duodenum. On the other hand, H. E. in the duodenum alone, as is shown in Case 1, is of far rarer occurrence. A fairly long and enduring study seems necessary before one chances to come across such a case. So far we have experienced only 2 including the case mentioned above. Cases 2, 3 and 4 are examples of those characterized by quite a number of black spots in the stomach; the duodenum mostly showing a picture of transition into acute erosion because some of the black spots had already come off. When a fiberscope was introduced in the same stage further down into the descending limb of the duodenum, multiple erosions were quite unexpectedly detected in this segment as well. A lesion of this kind in an acute stage has never been revealed for observation.


Copyright © 1975, 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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