Erosive gastritis

Choe, K O; Park, C Y; Choi, B S; Lee, Y H

Abstract

In routine double contrast upper gastrointestinal series variolarform of erosive gastritis were selected withconfirmation by gastrofiberscopy at Severance Hospital of yonsei University. Following observations were made inradiologically and clinically. 1. Among 26 patients men predominated over women; men 22, women 4. 6 patients werebelong to second and third decades, 16 to 4th and 5th and 7th decades. 2. The distribution of variolarform gastricerosion in stomach showed relatively characteristic relationship with the age of patients; in 2nd and 3rd and 4thand 5th decades lesions were predominated in pyloric antrum, but in 6th and 7th decades lesions tend to widelydisseminated in antrum and body of stomach. 3. In majority lesions were multiple and solitary lesions were seen inonly 3 cases. 4. Typical radiologic findings were demonstrated in 19 cases of variolarform erosion; that iscentral barium flecks and surrounding radiolucent halos. Central barium flecks were observed in majority oflesions. Absence of central barium fleck did not necessarily mean absence of central mucosal defect. The size ofradiolucent halo varied from 4 to 12 mm in most of cases. 5. Lesions were misses in 7 cases by double contrastupper gastrointestinal series; all solitary lesions (3 cases) were included. Remainder 5 cases were multiplelesions, amoung which 3 cases were complicated by duodenal ulcer or scar deformity. 6. Coexistent lesions withvariolarform erosion were found in 10 cases; 6 cases of duodenal ulcer or scar deformity, 5 cases of punctiformerosion, one case of gastric ulcer and one case of choledochoduodenal fistula. 7. The chief complaint of patientswas not specific. Only epigastric discomfort in majority. Gastric bleeding was seen in one patient but who hadpunctiform erosion of stomach simultaneously.