Clinicopathological Study of Gastric Ulcer Caused by Helicobacter pylori Yuzo Toyama 1 , Ryuji Nagahama 1 , Ryohei Ugaji 1 , Yuji Matsumura 1 , Terushige Yamamoto 1 , Shingo Asahara 1 , Tomoki Yokochi 2 , Hayato Hirashima 3 , Toshiyasu Iwao 4 1Department of Gastroenterology, Chiba Tokushukai Hospital, Funabashi, Japan 2Department of Clinical Research, Chiba Tokushukai Hospital, Funabashi, Japan 3Department of Gastroenterology, Utsunomiya Memorial Hospital, Utsunomiya, Japan 4Department of Gastroenterology, Aizu Chuo Hospital, Aizuwakamatsu, Japan Keyword: Helicobacter pylori , 胃潰瘍 , 単発潰瘍 , 多発潰瘍 pp.876-883
Published Date 2017/6/25
DOI https://doi.org/10.11477/mf.1403201101
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 In the present study, 207 patients with gastric ulcer associated with Helicobacter pylori were clinicopathologically examined(male:female ratio, 69:31 ; males, 143 ; and females, 64) ; 88 patients(42.5%)had no symptoms. Single ulcers, which were nearly circular lesions, were present in 75.8%(157 patients)cases. The frequent ulcer sites were the incisura angularis on the lesser curvature and the upper posterior gastric wall. Notably, the gastric ulcers in all patients were found around the atrophic border or within the atrophic territory, which were recognized endoscopically. Therefore, clinical attention should be paid to the progress of the atrophy, which was closely associated with the ulcer sites, as originally suggested by Oi et al. In the present report, we also demonstrated that examining the risk of bleeding using the scoring system resulted in an appropriate risk management and a preferable treatment.

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