소화궤양의 임상적 고찰 : 내시경으로 진찰된 5,785예를 中心으로 Acute and Chronic Effect of smoking = A Clinical Study of Endoscopically Proven Peptic Ulcer

다국어 초록 (Multilingual Abstract)

A clinical analysis was performed of 5,785 patients with peptic ulcer who were diagnosed by gastroduodenoscopy at Korea University Haehwa Hospital from March 1977 to March 1989.
1) There were no seasonal variations in the 5,785 peptic ulcer patient, but the frequency of gastric ulcer somewhat decreased in winter, duodenal ulcer and combined ulcer.
2) We observed a peak incidence of peptic ulcer in the 40-49 age group, gastric ulcer in the 40~49 age group, duodenal ulcer in the 30~39 age group, and combined ulcer in the 50~59 age group. The ratio of male to female was 2.5:1 in peptic ulcer, 2.7:1 in gastric ulcer, 2. 3:1 in duodenal ulcer and 3.8:1 in combined ulcer.
3) There was an incrased incidence of blood group 0 in the 5,785 peptic ulcer patients.
4) Of the 5,785 cases with peptic ulcer, 1,946 cases(33.6%) were gastric ulcer, 3,302 cases(57.1%) were duodenal and 537 cases(9.3%) were combined ulcer. The ratio of duodenal ulcer to gastric ulcer was 1.5:1
5) The frequency of multiple ulcer was 36.3% in stomach, and 28.6% in duodenum.
6) The most prevalent site of gastric ulcer was lesser curvature of angle. The most favorable site of duodenal ulcer was bulb(96.8%). And in bulb ulcer, anterier wall was involved most commonly.
7) Complications of peptic ulcer were, in frequency of order, hemorrhage(6.4%), pyloric stenosis(2.1%), and perforation(0.1%).
8) The most common symtom was epigastric pain. There were somewhat difference between gastric ulcer, duodenal ulcer, combined ulcer in character, duration and onset of the chief symptom, and other dyspeptic symptoms.