[Abstract] [Full Text PDF] (in Japanese / 6437KB) [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 55(4): 361-369, 1954


Original article

THE PATHO-HISTOLOGICAL STUDIES ON THE CHRONIC GASTRITIS IN THE RESECTED STOMACHS

Surgical Department, KEIO-GIJUKU University Medical School (Director: Prof. N. Shimada)

Susumu HIRASAWA

The resected stomachs in cases of 89 chronic gastritis, which had not easily responsed to medical treatments, were investigated by the pathological and histological explorations. The conclusions are as follows :
(1) Even in the cases of the chronic gastritis which have macroscopically granular-formations and considered as a hypertrophic gastritis, there are some cases, in which the gastric glands are atrophic and the mucosa is thicker with the inflammation of stroma.
(2) The one gastroscopically classified as a superficial gastritis is to be called edematous- swolen type".
(3) The inflammation of the mucosa reaches into the deeper structure, and developes various degenerative changes and dissociations of the proper muscle. These changes are more marked in the cases of the ptosis.
(4) The above-mentioned cases are thought as incurable by any conservative treatments. The author believe, especially, that the cases with the ptosis are to be treated as the indication of the gastrectomy.
(5) The author considers that, some of the ptosis will be caused by the chronic gastritis. In such cases, the intramural nerve cells become to secondary degeneration, and then occur various motor disturbances.
(author's abstract)


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