Tanaka M, Uchiyama M, Kitano M
Arch Surg. 1979 Feb;114(2):185-7. doi: 10.1001/archsurg.1979.01370260075012.
Endoscopic study of the upper gastrointestinal tract was performed in 40 patients in the chronic stage of spinal cord injury. Of these, 37 patients were analyzed for endoscopic abnormalities, symptoms, and physical findings. Nineteen patients (51.4%) had abnormalities by endoscopy. There were 11 gastric erosions, two gastric ulcers, and six cases of congestion or submucosal hemorrhage. In addition, five patients had duodenal mucosal lesions. An attempt to find clear diagnostic clues in terms of symptoms or physical signs was unsuccessful. Anorexia and nausea were early symptoms to which we should pay attention. The results do not permit an assessment of the relation of various possible causative factors and these gastroduodenal lesions. The study does call attention to the high incidence of gastroduodenal lesions in these patients.
对40例脊髓损伤慢性期患者进行了上消化道内镜检查。其中，对37例患者的内镜异常、症状和体格检查结果进行了分析。19例患者（51.4%）内镜检查有异常。有11例胃糜烂、2例胃溃疡以及6例充血或黏膜下出血。此外，5例患者有十二指肠黏膜病变。试图从症状或体征中找到明确诊断线索的尝试未成功。厌食和恶心是我们应予以关注的早期症状。这些结果无法评估各种可能的致病因素与这些胃十二指肠病变之间的关系。该研究确实提醒人们注意这些患者胃十二指肠病变的高发生率。
