Schumpelick V, Soehendra N, Bücheler E, Schreiber H W
Zentralbl Chir. 1978;103(14):897-900.
On admission to hospital the radiologic diagnosis of ulcer in 640 patients (407 duodenal ulcer, 233 gastric ulcer) was supplemented by means of gastroduodenoscopy in 207 cases; ERP was performed in few cases. In 51 patients with the initial radiologic diagnosis of duodenal and 28 gastric ulcer (12,3%) decisive alterations of the operative tactics based on the initial diagnosis were made. The differences in the findings neither discredit nor favor one or the other diagnostic procedure. The necessary collaboration between radiologists, endoscopists and surgeons is based, as usual, on technical perfection. When no such prerequisite is available the radiologic diagnosis should be optimized or supplemented through an endoscopic examination.
入院时，对640例溃疡患者（407例十二指肠溃疡，233例胃溃疡）进行了放射学诊断，其中207例通过胃十二指肠镜检查进行了补充；很少有病例进行了逆行胰胆管造影（ERP）。在51例最初放射学诊断为十二指肠溃疡和28例胃溃疡的患者中（12.3%），根据初始诊断对手术策略进行了决定性改变。检查结果的差异既不否定也不支持任何一种诊断方法。与往常一样，放射科医生、内镜医生和外科医生之间必要的协作基于技术的完善。当没有这样的先决条件时，应通过内镜检查优化或补充放射学诊断。
