J Korean Radiol Soc.  1985 Dec;21(6):985-992. 10.3348/jkrs.1985.21.6.985.

Gastric mucosal erosions -radiologic evaluation-

• Kim SH

• KMID: 2462398
• DOI: http://doi.org/10.3348/jkrs.1985.21.6.985

Abstract

70 cases of gastric mucosal erosions were diagnosed by double contrast upper gastrointestinal examinations andendoscopic findings. Analyzing the radiographic findings of these 70 cases of gastric mucosal erosions, thefollowing results were obtained. 1. Among the total 70 cases, 65 cases were typical varioliform erosions showingcentral depressions and surrounding mucosal elevations. Remaining 5 cases were erosions of acute phase havingmultiple irregular depressions without surrounding elevations. 2. The gastric antrum was involved alone or in partin all cases. Duodenal bulb was involved with gastric antrum in 4 cases. 3. The majority of the cases had multipleerosions. There were only 2 cases of single erosion. 4. In 65 cases of varioliform erosions; 1) The diameter ofthe surrounding elevations varied from 3 to 20mm with the majority (47 cases)between 6 and 10mm. 2) In geneal, thesurrounding elevation swith sharp margin on double contrast films were also clearly demonstrated on compressionfilms but those with faint margin were not. 3) The sized of the central barium collections varied from pinpoint to10mm with the majority under 5mm. The shape of the central barium collections in majority of the cases were roundwith a few cases of linear, triangular or star-shape. 5. In 5 cases of acute phase erosions; 1) All the 5 caseswere females. 2) On double contrast radiography, all the cases showed multiple irregular depressed lesions withoutsurrounding elevations. 3) 1 case had the history of hematemesis. 4) In 1 case, there was marked radiologicalimprovement on follow-up study of 2 months interval. 6. In 23 cases, there were coexistent diseases with gastricmucosal erosions. These were 13 cases of duodenal bulb ulcers, 7 cases of benign gastric ulcers and 3 others.

MeSH Terms

Barium
Depression
Female
Follow-Up Studies
Hematemesis
Humans
Pyloric Antrum
Radiography
Stomach Ulcer
Ulcer
Barium