Gallagher C G, Lennon J R, Crowe J P
Am J Gastroenterol. 1987 Apr;82(4):302-6.
In order to help clarify the clinical importance of chronic erosive gastritis, we describe our experience of 28 patients with this disorder who were seen over a 2-yr period. Twenty patients were male. Twenty-four patients presented with abdominal pain, for which no cause other than chronic erosive gastritis was found in 20 patients. Ten patients had pain for more than 1 yr. Three patients presented with painless vomiting. The antrum was involved in 27 patients and the body in 17 patients. There was no correlation between the number of erosions and the duration of symptoms. Double contrast barium meal was positive in nine of 21 patients. Of 19 patients treated with cimetidine, 15 improved clinically and six of eight had endoscopic improvement. The treatment of choice is unknown and controlled trials are needed. Symptoms in patients with chronic erosive gastritis appear to be due to the gastritis itself rather than to associated lesions.
为了帮助阐明慢性糜烂性胃炎的临床重要性，我们描述了在两年期间诊治的28例该疾病患者的经验。20例为男性。24例患者出现腹痛，其中20例除慢性糜烂性胃炎外未发现其他病因。10例患者疼痛超过1年。3例患者出现无痛性呕吐。27例患者胃窦受累，17例患者胃体受累。糜烂数量与症状持续时间之间无相关性。21例患者中9例双重对比钡餐检查呈阳性。在接受西咪替丁治疗的19例患者中，15例临床症状改善，8例中的6例内镜检查有改善。治疗的最佳选择尚不清楚，需要进行对照试验。慢性糜烂性胃炎患者的症状似乎是由胃炎本身而非相关病变引起的。
