胃疾患 1,272例의 胃內觀鏡所見에 對한 硏究 = A Clinical Observation on 1272 Cases of Various Gastric Diseases Based on Endoseopic Findings

국문 초록 (Abstract)

성인병 중에서 위질환은 그 빈도에 있어서 가장 수위를 점하고 있다. 위질환의 진단은 병력, 이학적소견 및 위 X-선검사가 있으나 현재 위내시경검사는 신속함과 정확도에 있어서 가장 유용한 진단방법의 하나이다. 더우기 위점막의 미세한 병변이나 조기위암을 초기에 발견될 수 있음은 위내시경의 발전에 있다고 하겠다.
저자는 과거 4년간(1979.1∼1982.12) 위내시경으로 진단된 각종 위질환의 연구분석 결과 다음과 같은 결론을 얻었다.
1. 각종 위질환 및 십이지장궤양으로 확진된 1,272예중 남자는 826예(64%), 여자는 446(36%)였고, 40대, 30대, 50대의 순으로 많았다.
2. 질환별 분포는 위염이 555예(43.7%)로 가장 많았고, 위궤양과 십이지장궤양은 257 및 250예로서 거의 비슷한 분포를 나타났다.
3. 위염의 남녀비는 각각 1.2:1로 비슷하였으며 호발연령은 30대와 40대에서 가장 많았으며 표층성위염이 63%로서 수위를 차지하였다.
4. 위궤양의 남녀비는 각각 2.6:1로서 남자가 많았고 호발연령은 40대, 50대였으며 단발성이 70%로 훨씬 많았다.
5) 위암은 총 1,272예중 195예 였으며 남녀비는 각각 2.4:1로서 남자가 많았고, 호발연령은 50대 35%, 60대 30%순으로 많았고, 호발부위는 위체부로서 50.8%를 차지하였고, BⅣ형이 114예(58%)로서 가장 많았다.
6) 십이지장궤양의 남녀비는 각각 3.5:1로서 남자가 월등히 많았다.

다국어 초록 (Multilingual Abstract)

A clinical analysis was carried out on1272 patients taken gastrofiberscopy who were considered to have various stomach diseases clinically, from January 1976 to December 1982 in Dept. of Internal Medicine, Ewha Womans University Hospital.
The results were as follows;
1) Of the tota 1272 cases, 826(64%) cases cases were male and 446(36%) cases were female. 22.8% of the cases were of the 4th decade, 3th decade(21.5%) and 5th decade (20.6%) in order.
2) The distribution of Upper G-I disease on endoscopic finding was gastritis; 555(43.7%) cases, gastric ulcer; 257(20.1%) cases, ducdenal ulcer; 250(19.6%) cases and gastric cancer; 195(15.4%) cases in order.
3) Of the 555 patients with gastritis, 301(54.2%) cases were male and 254(45.8%) cases were female. The peak incidence of gastritis was 3th decade (28%), 4th decade (26%) and 5th decade (18%) in order. The most frequent type of gastritis was superficial gastritis (63%).
4) Of the 257 cases of benign gastric ulcer, 186(72%) cases were male and 71(28%) cases were female. The endoscopic finding revealed that single ulcer was 180 (70%) cases and multiple ulcer was 29(11%) cases.
5) Of the 195 cases of gastric cancer, 137(70%) cases were male and 58(30%) cases were female. The peak incidence was 5th decade (35%) and next was 6th decade (30%). The most frequent type of gastric cancer was type Ⅳ in Borrmann's classification (58%), and the most frequent occurrence site was gastric body (50.8%).
6) Of the 250 cases of duodena ulcer, 195(78%) cases were male and 55(22%) cases were female, male to female ratio was 3.5:1.