Rainoldi J, Maturo H, Sola T, Vorobioff S, Slepoy V, Azar R
Acta Gastroenterol Latinoam. 1982;12(1):39-44.
Twenty five hundred esophagogastroduodenoscopies were examined, separating all the duodenal erosions' cases. The most important conclusions refer to two facts in relations to the existence of duodenal erosions (DE) with respect to duodenal erosions when coexisting with gastric erosions (gastroduodenal erosions-GDE). In the duodenal erosions symptomatology dominated frankly, mainly ulcerous syndrome, typical or atypical (P less than 0,01). The GDE had a clear predominancy of bleeding referring to DE (P less than 0,01), suggesting that the DE are to be considered a nosologic entity different as the GDE. The ulcerogenious antecedents (drugs, stress, alcohol, etc.) were frankly positive in both cases when there was bleeding, but of low percentage in the cases without bleeding, suggesting that its presence is important in the causing of bleeding but not in the generating erosions in itself.
共检查了2500例食管胃十二指肠镜检查病例，将所有十二指肠糜烂病例分离出来。最重要的结论涉及与胃糜烂并存时十二指肠糜烂（DE）的存在相关的两个事实（胃十二指肠糜烂-GDE）。在十二指肠糜烂中，症状明显占主导，主要是溃疡综合征，典型或非典型（P<0.01）。胃十二指肠糜烂相对于十二指肠糜烂有明显的出血优势（P<0.01），这表明十二指肠糜烂应被视为与胃十二指肠糜烂不同的疾病实体。当出现出血时，两种情况下的溃疡诱发因素（药物、压力、酒精等）均明显为阳性，但在无出血的病例中比例较低，这表明其存在对出血的发生很重要，但对糜烂本身的产生并不重要。
