A STUDY OF STOMAL ULCER:(1) CLINICAL OBSERVATION, MAINLY BY ENDOSCOPY

概要

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The patients with stomal ulcer were studied clinically, paticularly using endoscopy. The endoscopic examinations were applied not only for diagnosis, but also for pathophysiological studies. The gastric mucosal pH, which was directly measured by a micro glass electrode through a fiberscope, showed hyperacidity on residual stomach with stomal ulcer. By endoscopic congo red test, positive results were obtained on the whole residual gastric mucosa except stoma. Observing fine gastric mucosal patterns, by magnifying fibergastroscope (FGS-ML), showed atrophic gastritis was limited is the very narrow area around the stoma of the residual stomach with stomal ulcer.In gastric juice analysis, the patients with stomal ulcer showed increase of total volume, acid output and pepsin output. Serum gastrin levels in the above paticuts were within normal limits in fasting state and after administration of the test meal.As a conclusion, stomal ulcer may be complicated in cases without extended atrophic gastritis of the residual stomach.
財団法人日本消化器病学会の論文