Andreoni B, Salvini P, Gridelli B, Balestri M, Strada L, Tognini L, Ghezzi C, Bevilacqua G
J Chir (Paris). 1981 Apr;118(4):253-9.
Early gastric cancer was detected in 23 patients, 15 of whom had acute complications of either hemorrhage or perforation. Cases with acute complications often have a more favorable prognosis as a carcinoma may be identified while still in its pre-invasive stage. The gravity of the complication should not result in the employ of limited diagnostic procedures (e.g. endoscopy without multiple biopsies) or the use of incomplete therapeutic measures (e.g. simple suture of a perforated ulcer). The treatment of hemorrhagic gastric ulcers and perforated ulcers is discussed in greater detail. The need for a continuous follow-up of these patients with gastric ulcers is emphasized. This should include periodic endoscopy examination and multiple biopsies, even when a gastric ulcer has been apparently cured by medical treatment.
23例患者被诊断为早期胃癌，其中15例出现了出血或穿孔等急性并发症。伴有急性并发症的病例通常预后较好，因为癌症可能在仍处于浸润前期时就被发现。并发症的严重程度不应导致采用有限的诊断程序（如不进行多次活检的内镜检查）或使用不完整的治疗措施（如对穿孔性溃疡进行单纯缝合）。文中更详细地讨论了出血性胃溃疡和穿孔性溃疡的治疗。强调了对这些胃溃疡患者进行持续随访的必要性。这应包括定期的内镜检查和多次活检，即使胃溃疡经药物治疗已明显治愈。
