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[胃糜烂与十二指肠溃疡的相关性。内镜研究]

[Correlations between gastric erosions and duodenal ulcer. Endoscopic study].

作者信息

Candidi Tommasi A, Lomi M, Soldi A, Guarducci A M, Surrenti C

出版信息

Minerva Med. 1980 May 26;71(21):1495-500.

PMID:7383408
Abstract

123 varioliform, 105 aphthous and 48 haemorrhagic flat erosions were noted in 2618 gastroduodenoscopies. A high incidence of erosions were associated with duodenal ulcer (43% of duodenal ulcers), especially in varioliform types and antrally. It is suggested that antral varioliform erosions form an integrating part or even the sole expression of an ulcer, and thus be seen as "sentinels" of an existing, potential or prior duodenal ulcer. Based on statistics, this view is supported by the maximum stimulus acidograms, which show that the PAO in antral varioliform erosions form an integrating part or even the sole expression of an ulcer, and thus be seen as "sentinels" of an existing, potential or prior duodenal ulcer. Based on statistics, this view is supported by the maximum stimulus acidograms, which show that the PAO in antral varioliform erosggested that antral varioliform erosions form an integrating part or even the sole expression of an ulcer, and thus be seen as "sentinels" of an existing, potential or prior duodenal ulcer. Based on statistics, this view is supported by the maximum stimulus acidograms, which show that the PAO in antral varioliform erosion without duodenal ulcer is within the range for duodenal patients. The employment of PAO is thus proposed in all cases of isolated antral varioliform gastric erosion, particularly in the absence of other possible causes.

摘要

在2618例胃十二指肠镜检查中发现123例痘疮样、105例口疮样和48例出血性扁平糜烂。糜烂的高发生率与十二指肠溃疡相关(占十二指肠溃疡的43%),尤其是痘疮样类型且位于胃窦部。提示胃窦部痘疮样糜烂构成溃疡的一个组成部分甚至是唯一表现,因此可视为现存、潜在或既往十二指肠溃疡的“哨兵”。基于统计数据,最大刺激胃酸分泌图支持这一观点,该图显示胃窦部痘疮样糜烂的最大胃酸排出量处于十二指肠溃疡患者的范围内。因此,建议在所有孤立的胃窦部痘疮样糜烂病例中,尤其是在没有其他可能病因的情况下,采用最大胃酸排出量检查。

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