Fung W P, Lee S K
Med J Aust. 1976 Aug 14;2(7):241-2. doi: 10.5694/j.1326-5377.1976.tb130142.x.
Of 473 patients examined with the fibregastroscope, 27 were found to have evidence of gastric malignant disease on the endoscopic and biopsy results. Of these 27 patients, 20 were initially examined by barium-meal (single-contrast) radiography then by endoscopy and biopsy. The barium-meal study was reported as showing definite malignant disease in two cases (10%), appearances suggestive of malignant disease in 11 cases (55%), and other lesions in eight cases (35%). Endoscopic examination enabled a diagnosis of advanced gastric cancer to be made in 13 cases (65%), of appearances suggestive of malignant disease in two cases (10%), and of other lesions in five cases (25%). Gastric biopsies gave a histological diagnosis of gastric malignant disease in 19 cases (95%), and of appearances suggestive of malignant disease in one case (5%). Furthermore, the histological types of gastric malignant disease were shown by the gastric biopsies. In seven cases without initial screening by barium-meal radiography, endoscopy and biopsy confirmed the diagnosis of gastric cancer in all. It is concluded that endoscopy is superior to radiology in the diagnosis of gastric malignant disease. The study also shows that gastric biopsy further increases the diagnostic ability of endoscopy and should be done in all cases in which gastroscopy is performed.
在473例接受纤维胃镜检查的患者中，根据内镜检查和活检结果，发现27例有胃恶性疾病的证据。在这27例患者中，20例最初接受了钡餐（单对比）造影检查，然后进行了内镜检查和活检。钡餐检查报告显示，2例（10%）有明确的恶性疾病，11例（55%）有恶性疾病的表现，8例（35%）有其他病变。内镜检查确诊进展期胃癌13例（65%），有恶性疾病表现2例（10%），其他病变5例（25%）。胃活检组织学诊断胃恶性疾病19例（95%），有恶性疾病表现1例（5%）。此外，胃活检还显示了胃恶性疾病的组织学类型。在7例未进行钡餐造影初步筛查的患者中，内镜检查和活检均确诊为胃癌。结论是，在内镜诊断胃恶性疾病方面优于放射学检查。该研究还表明，胃活检进一步提高了内镜的诊断能力，在所有进行胃镜检查的病例中均应进行胃活检。
