Realini S, Bugnion M, Flückiger A, Hofstetter J R
Schweiz Med Wochenschr. 1975 Jan 4;105(1):19-20.
Study of 100 cases of duodenal ulcer has revealed disagreement between radiologic and endoscopic findings. In 20 percent of cases the disagreement was minor (e.g. deformed duodenum - ulcer, deformed duodenum - scar, etc.). In 5 percent of cases they were major (e.g. normal - ulcer). The percentage of discrepancies, which were to the advantage of endoscopy, was lower than in the reports of JENNI and KAWAI, probably because our heterogeneous radiologic material was reviewed beforehand by two radiologists. The specific merit of endoscopy is that it makes it possible to observe superficial and sub-radiologic lesions of the mucosa, localize the ulcer with greater precision and detect deformation of the pylorus. Radiology affords better evidence of certain deformations.
对100例十二指肠溃疡的研究显示，放射学检查结果与内镜检查结果存在分歧。在20%的病例中，分歧较小（例如十二指肠变形 - 溃疡、十二指肠变形 - 瘢痕等）。在5%的病例中，分歧较大（例如正常 - 溃疡）。内镜检查结果更具优势的差异百分比低于珍妮和川井的报告，可能是因为我们的放射学材料异质性较高，事先由两位放射科医生进行了审查。内镜检查的特殊优点在于，它能够观察到黏膜的浅表和亚放射学病变，更精确地定位溃疡并检测幽门变形。放射学能为某些变形提供更好的证据。
