Sinner W N, Trief H
Rontgenblatter. 1978 Nov;31(11):601-13.
15 patients urgently suspected of gastric cancer on account of clinical and x-ray findings were subjected to preoperative gastroscopy. In all cases, a malignant gastric tumour could be excluded via gastroscopy with biopsy. However, in one remarkable case the clinical and x-ray findings had been so typical of a malignant tumour, that surgery was performed despite negative gastroscopy and biopsy. No tumour was found. The x-ray findings were correlated with those of endoscopy. Three patients had hiatal hernia (in one case combined with varices of the fundus of the stomach) and in one case each large and irregular plication was normal in seven cases. The results are discussed on the basis of the findings and relevant literature. It is concluded from this study that routine preoperative gastroscopy with biopsy is mandatory in clinical and x-ray suspicion of gastric cancer, since it may result in avoidance of surgery in some patients.
15例因临床及X线检查结果而被高度怀疑患有胃癌的患者接受了术前胃镜检查。在所有病例中，通过胃镜检查及活检均可排除恶性胃肿瘤。然而，在一个显著的病例中，临床及X线检查结果极具恶性肿瘤特征，尽管胃镜检查及活检结果为阴性，仍进行了手术。术中未发现肿瘤。将X线检查结果与内镜检查结果进行了对比。3例患者有食管裂孔疝（1例合并胃底静脉曲张），1例患者有巨大且不规则的胃襞，7例患者胃襞正常。根据这些发现及相关文献对结果进行了讨论。本研究得出结论，在临床及X线怀疑胃癌时，常规术前胃镜检查及活检是必需的，因为这可能使部分患者避免手术。
