Kriedemann E, Rotte K H, Mateev B, Gütz H J
Arch Geschwulstforsch. 1975;45(6):552-65.
X-ray findings and gastroscopic findings of patients with primary gastric stump cancer and recurrences of gastric cancer are compared. These findings are compared with the observations of operations. The reasons of false diagnoses and doubtful tentative diagnoses were analyzed. In the analysis of X-ray pictures especially the benign operative caused and the postoperative alterations of the wall and mucosa of the stomach must delimit from infiltrative and polypous increasing tumors. The postoperative control examination may be valuable for the diagnosis, because it gives the possibilities for comparison. Roentgenography in double contrast relieves the diagnosis. Stenosing processes of the cardia and anastomose causes difficulties in differential diagnosis in gastroscopy opposite to scared alterations. The aimed biopsy improves the tumor protection. Both examination techniques shows difficulties in recognition of recurrences, which develop from the duodenal stump. Only a special examination technique leads to an improvement of the results. The instruction and experience of the examiner, the knowledge of tumor diagnostics and of the methods of operations and of the postoperative alterations are for the diagnosis of these processes of decisive importance. X-ray examination and endoscopy are two supplementing examination methods.
对原发性残胃癌和复发性胃癌患者的X线检查结果和胃镜检查结果进行了比较。这些结果与手术观察结果进行了比较。分析了误诊和可疑初步诊断的原因。在分析X线片时，尤其是良性手术引起的以及胃壁和黏膜的术后改变，必须与浸润性和息肉样增生性肿瘤相鉴别。术后对照检查对诊断可能有价值，因为它提供了比较的可能性。双重对比造影X线检查有助于诊断。贲门和吻合口的狭窄性病变在胃镜检查中与瘢痕性改变相比，在鉴别诊断上存在困难。有针对性的活检可提高肿瘤诊断的准确性。两种检查技术在识别源自十二指肠残端的复发方面都存在困难。只有采用特殊的检查技术才能改善检查结果。检查者的指导和经验、肿瘤诊断知识、手术方法及术后改变的知识对这些病变的诊断至关重要。X线检查和内镜检查是两种互补的检查方法。
