위내시경을 이용한 각종위질환에 대한 진단에 관하여

Abstract

The gatroendoscopic examination has become an essential procedure as well as X-ray study in the diagnosis of the various stomach diseases. This is the analysis of the 760 cases who were studied endoscopically. The results were as follows: 1) The 760 cases were consisted of 310 cases (40.8 %) of normal, 240 cases (31.6 %) of gastric malignancy, 135 cases (17. 8%) of benign ulcer, 42 cases (5.5%) of gastritis, 12 cases (1. 6%) of ulcer scar, 9 cases (12%) of gastrectomized stomach, 7 cases (0. 9%) of benign polyps, and a case of bezoar, diverticulum, leiomyoma, giant folds. gastric varicosis respectively 2) The occurrence rate in gastric benign ulcer was 52 cases (38. 5%) in angular region, 46 cases (34.1 %) in the antrum, 36 cases (26.6%) in the stomach body, and most of the lesions were found in lesser curvature with none in greater curvature side. In gastric malignancy, the most frequent site was antral canal(113 cases: 47.1%) and followed by st • omach body (75 cases: 31.3%) , angular region(48 cases: 20.0%) in the order. Of these cases, 36 lesions05.0%) were found at the greater curvature side. 3) The gastritis were demonstrated as following rate; 9 cases of each superficial and erossive gastrltis, 11 cases of hemorrhagic gastritis, 10 cases of atrophic gastritis and 3 cases of hypertrophic gastritis. In these groups, hemorrhagic and atrophic type were found in majority of numbers. 4) The gastric malignancy were classified into Borrmann's types, namely 35 cases (14. 6%) of Borrmann type I , 21 cases (8.7%) of type IT , 124 c껴ses (51.7%) of type ill , 28 cases(l1 . 6%) of type W, 11 cases(4.7%) of unknown type and 21 cases(8.7%) of early gastric cancer. In early gastric cancer. class He was dominant (13 cases) in frequency and followed by 4 cases of class IT c+ ill , 2 cases of class I and class ill + IT c respectively. 5) It was impressed that the diagnostic discrepancy between endoscopy and X-ray laid mainly upon both detection and differentiation of lesions , and the detective error frequently occurred in superficial pathology such as gastritis, ulcer scar and superfial type of early gastric malignancy, and differentiation error was evident in lesions such as fungating growth and ulcerative changes.