Müller H O, Bende E
Aktuelle Gerontol. 1977 Mar;7(3):127-30.
Endoscopic findings in a group of 169 aged patients are shown to be concentrated in the stomach, whereas pathologic findings in the duodenal bulb are less frequent. In comparison to a group of young patients gastric mucosal atrophy, gastric ulcer, carcinoma of the operated and unoperated stomach, polyps are predominant in the aged patients. Approximately one half of carcinomas were seen in patients operated by the Billroth II technique. On behalf of this fact it is necessary to review patients endoscopically from the fifteenth year after operation on with regularity in order to detect growth of carcinoma in the early stage.
169例老年患者的内镜检查结果显示病变主要集中在胃部,而十二指肠球部的病理检查结果则较少见。与年轻患者组相比,老年患者中胃黏膜萎缩、胃溃疡、已手术和未手术的胃癌、息肉更为常见。约一半的胃癌患者采用毕罗Ⅱ式手术。鉴于这一事实,有必要在术后第15年开始定期对患者进行内镜检查,以便早期发现癌肿生长。