Roentogenological Study on Gastric Ulcer Scar:Investigation of the zone of ulcer scar
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概要
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It was reported that in the radiographic findings a gastric ulcer scar in simple round form was composed of a convergence of mucosal folds and mucosal pattern of the ulcer scar. This mucosal pattern was considered to be less than 7mm in diameter.It is indicated in this study that an ulcer scar with more larger size was observed and showed complicated findings on X-ray. These ulcer scars, which have histologic ruptures of muscular layer being 10mm or more in short diameter, were named as a zone of ulcer scar by the author here in this paper. In this paper X-ray and microscopic findings of resected stomach were compared.Out of 116 patients with resected stomach operated as benign gastric ulcer in our hospital, 8 cases were found with zone of ulcer scar. The long axes of these zones of ulcer scar were from 18 to 48mm in diameter, and the long axes were crossed rectangularly by the long axis of the stomach.The form of the zone of ulcer scar were elliptical and were located at or near the gastric angle, and 7 cases of which had small ulcers in it. These small ulcers proved to be uncurable through long term radiographic observation.In the zone of ulcer scar in resected stomach were macroscopically found an interruption of convergence of mucosal folds, a slightly depression of the mucosa and irregularity of the gastric area. In addition, there were changes of color and lustre in the mucosa.The X-ray findings of zone of ulcer scar showed an interruption of convergencing mucosal folds and an irregularity of gastric area on double contrast radiography, and also limited rigidity of gastric margin on barium filled film.A macroscopic observation and a radiographic examination were compared with histologic findings of zone of ulcer scar. The zone of ulcer scar was detected more easily on radiographic examination than on gross observation of resected stomach.
- 財団法人 日本消化器病学会の論文