위 내시경검사법의 진단적 기능 검토 -내시경적 육안소견을 중심으로-

Abstract

To evaluate the diagnostic function of gastroendoscopy in the diagnosis of gastric disorders. 131 cases out of 409 patients were selected whose endoscopic findings were different from radiological study. Both endoscopic and radiological findings were analized and the results were as follows; 1) The cases showing different endoscopic finding from radiological study were 131 out of 409 patients (32%). and it was suggested that an accurate diagnosis could be obtained in a rate of more than 68% when both gastroendoscopy and radiological study were applied. 2) The differences of the findings in detecting pathological changes in both studies were evident in fine mucosal pathology such as various types of gastritis except hypertrophic one. and it was impressed that endoscopic function exceeded radiological detection. 3) Even though some abnormalities were detected on both studies. the endoscopic interpretation on the pathological nature would be often different from radiological diagnosis and this differences were frequently found especially in protruding and ulcerating changes. To confirm the nature of the pathology. addititional studise of biopsy and cytology would be helpful.