Balázs M, Koncz I
Orv Hetil. 1989 Oct 8;130(41):2183-6.
Eight ulcerative gastroduodenitis are reported in connection with the chronic circulatory disorders. In four patients the severe sclerotic narrowing of splanchnic arteries was proved by autopsies following the operation. Characteristics of chronic ischemic disease of the stomach were as follows: lack of symptoms of chronic peptic ulcus in the previous history; old age; severe pain; sudden losing weight and the ineffectiveness of usual therapy. X-ray, endoscopy as well as intraoperative findings raised the suspicion of a malignant tumour. Authors are of the opinion that chronic ischemic disease of the stomach is an entity pathologically as well as clinically. Histology of the reported cases were compared with 20 chronic peptic ulcers of the stomach and differences were described. Some giant ulcers in old age are suggested belonging to this group of diseases. Practical importance of better knowledge of the ischemic gastritis was emphasized. After recanalisation of the vessels spontaneous healing of gastric ulcers has been reported. Importance of selective arteriography was stressed in cases of gastric ulcers of unusual shape and considerable size.
本文报告了8例与慢性循环系统疾病相关的溃疡性胃十二指肠炎。4例患者术后经尸检证实存在内脏动脉严重硬化性狭窄。胃慢性缺血性疾病的特点如下：既往史中无慢性消化性溃疡症状；老年；剧痛；体重突然减轻以及常规治疗无效。X线、内镜检查以及术中所见均引发了对恶性肿瘤的怀疑。作者认为胃慢性缺血性疾病在病理和临床方面均为一种独立的疾病实体。将报告病例的组织学与20例胃慢性消化性溃疡进行了比较并描述了差异。提示一些老年巨溃疡属于这组疾病。强调了更好地了解缺血性胃炎的实际重要性。有报道称血管再通后胃溃疡可自发愈合。对于形状异常且尺寸较大的胃溃疡病例，强调了选择性动脉造影的重要性。
