FUNDIC-PYLORIC MUCOSAL BORDER AND GASTRO-DUODENAL DISEASES:-A STUDY OF 1, 000 CLINICAL CASES-

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• Fundic-pyloric mucosal border (F-PB) of 1, 000 clinical cases were determined by dye endoscopy, and the relationships between F-PB and gastro-duodenal diseases were studied. The frequency of the open type of F-PB increased with age, while the rate of the closed type decreased. The rate of Co decreased sharply from -29 y. o. to 30-39 y. o. but stabilized at 5.7-9.5% after that in each age group. Gastro-duodenal diseases could be divided into 3 groups in relation to the type of F-PB. In the 1st group (gastric cancer, gastric polyp), the frequency of the diseases increased as the F-PB shifted to oral side. In the 2nd group (gastric ulcer), the frequency remained almost the same. In the 3rd group (duodenal ulcer, erosive gastritis), the frequency decreased according to the F-PB's shift. Almost all of undifferentiated gastric cancers were noted near F-PB in the stomach with type C<SUB>2</SUB>-O<SUB>3</SUB>, and almost all of differentiated gastric cancers were located far from F-PB in O<SUB>2</SUB>-O<SUB>3</SUB>. Most of gastric ulcers in pyloric mucosa far from F-PB were linear and intractable for treatments. Duodenal ulcers were seen in the cases with closed type (96.4 %) but 15.8% of duodenal ulcer scars were seen in the cases with open type. Recognizing F-PB, we can estimate prevalent lesions and their localization, and can examine the stomach and the duodenum systematically. Recognition of F-PB will be useful for treatment as well as diagnose of gastro-duodenal diseases.

• 社団法人 日本消化器内視鏡学会の論文

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