Radiographic findings in nodular gastritis

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  • KITAMURA Shinji
    Department of Gastroenterology, Kagawa Prefectural Cancer Detection Center
  • YASUDA Mitsugi
    Department of Gastroenterology, Kagawa Prefectural Cancer Detection Center
  • TORISU Ryusuke
    Department of Gastroenterology, Kagawa Prefectural Cancer Detection Center
  • YAMANOI Akira
    Department of Internal Medicine, Kagawa Prefectural Cancer Detection Center
  • HAYASHI Toru
    Department of Internal Medicine, Kagawa Prefectural Cancer Detection Center
  • AOKI Rika
    Department of Internal Medicine, Kagawa Prefectural Cancer Detection Center
  • MURATA Masahiko
    Department of Internal Medicine, Kagawa Prefectural Cancer Detection Center
  • KAGOSHIMA Akira
    Department of Internal Medicine, Kagawa Prefectural Cancer Detection Center
  • INOUE Hiroyuki
    Department of Internal Medicine, Kagawa Prefectural Cancer Detection Center

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Other Title
  • 鳥肌胃炎におけるX線示現能の検討
  • トリハダ イエン ニ オケル Xセン ジゲンノウ ノ ケントウ

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Abstract

From among the patients who were judged on X-ray screening of the stomach to require close evaluation, the endoscopic and X-ray findings of 20 patients, diagnosed as having nodular gastritis by endoscopy at our center, were compared. The characteristic finding of nodular gastritis was an even and dense distribution of elliptical radiolucencies 2-3 mm in diameter. When the endoscopic findings of nodular gastritis were classified as grade A, where nodules are distributed circumferentially and diffusely from the antrum to the angulus, grade B, where nodules are distributed over more than half but not all of the gastric circumference, or grade C, where nodules are distributed over less than half the circumference and are localized, X-ray diagnosis was possible in 4 of the 6 grade-A patients, 2 of the 4 grade-B patients, and 1 of the 10 grade-C patients. X-ray diagnosis was possible significantly more frequently in grade-A than in grade-C nodular gastritis. In many of the 7 patients diagnosed by X-ray examination, the lesions were visible by double contrast barium enema in the first oblique position and double contrast barium enema of the anterior wall in the prone position. Nodular gastritis has often been reported to be complicated by undifferentiated cancer, and careful evaluation of X-ray images is considered to be necessary, particularly when a diagnosis of nodular gastritis has been made by X-ray screening of the stomach.

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