[Ischemic gastritis--a clinico-pathological entity?].

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.