Long-term follow-up study of duodenal ulcer.

概要

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Two hundred and seventy-two duodenal ulcer cases followed up endoscopically for longer than 3 years including 60 cases done for longer than 10 years were retrospectively analyzed for their endoscopic appearances. The results were the followings : 1) Both solitary ulcer and kissing ones had remained principally the same features in each during the follow-up period. There was no case that had developed into distinct linear ulcer after repeated relapse or recurrence in either type. 2) Linear ulcer cases in this study had already existed as linear ulcers from the initial endoscopic examination. Most of them had remained the same features through the follow-up peried. 3) In most cases of linear ulcers, the shape of the ridge had been unchanged during the follow-up period although the ridge had become flat or an ulcer scar on the ridge had become obscured in some cases of the linear ulcers. It must be aware that such cases were apt to be misdiagnosed endoscopically as either a solitary or kissing ulcer in such occa-sions.
社団法人日本消化器内視鏡学会の論文