Clinical Findings of so-called Hemorrhagic Erosion of the stomach special refference to clinical and endoscopical findings

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  • いわゆる出血性胃びらんの臨床的検討―とくにその臨床像と内視鏡所見について―

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We gastroscopically observed 139 cases of hemorr-hagic erosions of the stomach in the last four years. We classified endoscopically the hemorrhagic ero-sions into four types ; variolif orm 9 cases (6.4%), punctiform 87 cases (62.6%), linear 16 cases (11.6 %), and irregular-shaped 27 cases (19.4%) . Their frequency rate, localization, clinical symptoms, occa-sion, and characteristic gastroscopic findings were dis-cussed.(1) There was no age preference among varioli-f orm, punctif orm, and linear types, but some pre-ference of the wide-spread irregular one to the second decade was seen.(2) Epigastric pain, nausea, vomitting, and anore-xia were common subjective symptoms of hemor-rhagic erosion. Frequency of severer subjective complaints was especially higher in the irregular-shaped. Hematemesis and/or melena occurred in 30 cases (20.6%) .(3) Hemorrhagic erosion was most frequently ob-served at the antrum.(4) Alcohol, acetylates, and stress were thought to be the common occasions of the hemorrhagic ero-sion.(5) The gastroendoscopic examination of the wide-spread irregular-shaped hemorrhagic erosion re-vealed very edematous uneven mucosa covered with many irregular blood clots, whitish exudate, and diffuse mucosal hemorrhage and showed narrowing of the antrum. So, it is necessary for the irregular-shaped one to be diff erenciated from an advanced cancer.(6) The wide-spread irregular-shaped was seen to heal endoscopically within 10 days except for 10 cases which progressed to antral acute symmetri-cal ulcers.

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