残胃病変のX線診断―「残胃に発生した癌」の文献を含む

Diagnosis of Lesions of the Gastric Remnant: The radiology and literature as to carcinoma of the gastric remnant

　残胃のX線診断は古くから行なわれ，ここにその歴史をのべる余裕はない．また，残胃のX線診断は当然外科医が行なうべきであることにはその理由があるが，術後年数がたつにつれて，内科医，放射線科医が行なうことになることも多いと思われる．したがって，後者の場合，術者の手技の傾向，原疾患の種類，術後年数，現在の愁訴等を熟知したうえでX線診断をしなくてはならない．

　ここでは紙面の関係でそのポイント的なものを2，3のべることにする．

　1. General techniques for radiographic examination of the gastric remnant are stated. Inspection of the areas of the stomach which are easily overlooked and several points of techniques for the examination are also discussed.

　2. Techniques for taking X-ray films not to overlook a stomal ulcer both in Billroth Ⅰ and Ⅱ anastomoses are reported.

　3. Many literature as to cancer arising at the gastric remnant are obtainable. Methods to find out cancer lesion of the gastric remnant as quickly as possible, especially the significance of recognizing “gastritis cystica polyposa” and cares in its prognosis are discussed.

　4. Three cases of stomal ulcer and three of cancer in the gastric remnant are reported.

　5. The native as well as foreign literature regarding cancer of the gastric remnant is collected.