內視鏡에 依한 慢性萎縮性胃炎의 臨床的 硏究 = Endoscopic Clinical Studies on the Chronic Atrophic Gastritis

다국어 초록 (Multilingual Abstract)

On performing the diagnosis of chronic gastritis the endoscopic examination is usually more useful than X-ray fluoroscopy. There have been many discussions concerning the classifications and etiologies about the chronic gastritis since Schindler. However, the clear -cut pattern of gastritis still has not been distinct as long as such discussions are concerned.
In the face of these points of view, in this report, I studied 172 cases of subjects with primary chronic atrophic gastritis by means of endoscopic examinations such as gastrocamera or gastrofiberscope.
Those results are as follows:
On the age and sex distributions, 72.7 percent of all the cases are contained in the range of 40 to 59 years of age and the increase of incidence keeps pace with the older age groups. There is a tendency that male (62.2％) is more frequently invaded than female (37.8％), 40 percent of cases have the duration of 5 to 10 years and the majority of cases have the clinical courses of long duration with progression and remission.
On the clinical symptoms, abdominal pain is complained of in 90.1 percent of all the cases and the nature of pain is not periodic 80.7％ and dull ache 56.2％, The locations are distributed at the lower substernal areas in 60 percent of cases. In the relationships to meal, postprandial pain is complained of in 69.8 percent of cases. Of the other complaints, abdominal fullness are 57.6 percents, insomnia 52.3 percent, general fatiguability 48.8 percent and anorexia 68.6 percent.
On the favorites, smoking is observed in 79.1 percent of all the cases but cases without alcohol or drinking coffee are noted in 57.6 percent and 71.5 percent each. The subjects would take slight red pepper diet in 35.5 percent.
On the laboratory tests, gastric analysis, are revealed that hypoacidity is 52.9 percent and achlorhydria is 12.2 percent each. By X-ray examinations, normal results are obtained in 74.5 percent and in 16.8 percent of cases the results are same as ones by endoscopic findings.
On the clinical course, the involved atrophic gastric mucosa in hardly thought to be recorvered to the normal states.

목차 (Table of Contents)

• Ⅰ. 緖論
• Ⅱ. 硏究對象 및 方法
• A. 硏究對象
• B. 硏究方法
• C. 萎縮性胃炎의 內視鏡象
• Ⅲ. 硏究成績
• A. 分類 및 頻度
• 1. 年齡別 性別 頻度
• 2. 年齡別 發病期問
• 3. 年齡烈 侵犯部位
• B. 臨床症候
• 1. 一般症狀
• 2. 腹痛
• 3. 嗜好品
• C. 胃液酸度所見
• D. X-線所見
• E. 臨床經過
• Ⅳ. 總括 및 考按
• Ⅴ. 結論
• 主要文獻