Zaterka S, Vieira F E, Neves P, da Silva E P, Leão G C, Bettarello A
Acta Hepatogastroenterol (Stuttg). 1977 Oct;24(5):381-5.
The relationship between chronic gastritis and peptic ulcer was studied in 97 patients, 51 with duodenal ulcer and 46 with gastric ulcer. Six biopsies (three from the antrum and three from the body) were obtained under direct vision by means of an Olympus panendoscope. Chronic gastritis was classified according to the grade of inflammation (slight or moderate and intense), and to its location (antritis or pangastritis). In gastric ulcer the relationship between frequency of chronic gastritis and the site of the ulcer (antrapyloric, at the angulus, body of the stomach) was also established. Antritis was just as frequently observed in duodenal ulcer (94%) as in gastric patients (96%), but severe inflammation of the antrum was higher in G.U. (43%) than in D.U. (17%). Chronic gastritis of the gastric body was always accompanied by antritis, both in G.U. and in D.U. and was observed in 63% of the former group and 37% of the latter. Severe inflammation of the glandular portion of the stomach occurred in only one patient with D.U (2%) and in 7 with G. U (15%). In the present investigation, no relationship between between the site of gastric ulcer and the frequency of chronic gastritis was observed.
对97例患者进行了慢性胃炎与消化性溃疡关系的研究，其中51例患有十二指肠溃疡，46例患有胃溃疡。通过奥林巴斯全景内镜在直视下获取6份活检标本（3份取自胃窦，3份取自胃体）。慢性胃炎根据炎症程度（轻度或中度及重度）及其部位（胃窦炎或全胃炎）进行分类。在胃溃疡患者中，还确定了慢性胃炎的发生率与溃疡部位（胃窦幽门部、胃角、胃体）之间的关系。十二指肠溃疡患者（94%）和胃溃疡患者（96%）中胃窦炎的发生率相同，但胃溃疡患者胃窦部的重度炎症（43%）高于十二指肠溃疡患者（17%）。胃体部慢性胃炎在胃溃疡患者和十二指肠溃疡患者中均总是伴有胃窦炎，前者发生率为63%，后者为37%。胃腺部的重度炎症仅在1例十二指肠溃疡患者（2%）和7例胃溃疡患者（15%）中出现。在本研究中，未观察到胃溃疡部位与慢性胃炎发生率之间的关系。
