HEALING PROCESS AND STAGING OF GAStRIC ULCER
スポンサーリンク
概要
- 論文の詳細を見る
In an attempt to clarify the healing process of gastric ulcer, endoscopic findings were studied with particular reference to staging of ulceration and to classification of healing process from the presumed initiation of healing process. 1) When symptoms disappeared in a short period (within a few days), the healing process presumably started on the day of disappearance of symptoms. 2) Brownish coating due to bleeding disappeared within a week and edematous swelling of the ulcer margin in two weeks. Reddish halo of regenerative mucosa developed from the third week in shallow ulcerations, sixth week in deeper ulcerations and fourth week on the average. 3) Stages of ulcer healing were classified as A1, A2, H1, H2. "A" stands for active and "H" for healing. Al : Marginal swelling was clearly present. Brownish coating was initially present. A2: The stage between Al and H1. H1 : Narrow reddish halo developed. In case of rapidly healing ulcer within three weeks no red halo developed and marked decrease in ulcer size followed this stage was classified into H1. H2: The stage wilh wide reddish halo. The width of halo was more than the half of ulcer radius. 4) Healing process of gastric ulcer was classified into four groups according to duration required until scarring. Group A : Promptly healing group. Scarring occur in one month by shrinking of ulceration. Stage Al and A2 for 10 days, H1 and H2 for five days. Group B : Ordinarily healing group. Scarring in two months. Each of four stages required 15 days. Group C : Slowly healing group. Scarring in four months. Stage Al for 15 days, A2 for one month, Hl for one month and a half and H2 from the third month. Group D : Hardly curable group. Scarring did not yet develop at fourth month. Stage H2 had lasted until redness disappeared at sixth month (stage HO) The depth of ulceration was roentgenologically less than 5mm in groups A and B, and more than 5mm in groups C and D.
- 社団法人 日本消化器内視鏡学会の論文
社団法人 日本消化器内視鏡学会 | 論文
- 経皮内視鏡的胃瘻造設術を受けた患者における生存期間と栄養評価の関係
- 内視鏡的バルーン拡張術にて治療しえたPlummer-Vinson症候群の2例
- 糖尿病に合併した急性壊死性食道炎の1例
- 内視鏡的経鼻膵管ドレナージとオクトレオチドが有効であった膵性胸水の1例
- 重症急性膵炎後膵膿瘍に対し超音波内視鏡ガイド下ドレナージ術が有効であった1例