J.Jpn. Surg. Soc.. 55(7): 750-751, 1954
Others
The Clinical Feature of the Chronic Gastritis and its Surgical Treatment
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Surgical Department, The 1st National Hospital of Tokyo Eisuke HAMAGUCHI, Kotaro NAGASU, Mototsugu ABE, Akihiko KAWASAKI, Jun NOGUCHI, Shoji NAKANO, Shohei MIYAGAWA, Keisuke HASHIMOTO |
The clinical course of all cases were 5 years in average, resisting to all kind of medical treatments.
We can point out some characteristic features of this disease and we have become to believe that the chronic gastritis must be treated as one of surgical diseases, at least when its medical treatment proved to be in vain. We can divide 3 types of the resected stomach, i.e., perigastritis, atrophic gastritis and hypertrophic gastritis. The ratio of these 3 types was 1 : 2 : 3. Between the acidity of the gastric juice and the pathological type of the resected stomach we found no signifficant relation.
We must think of the relatively high danger of this disease to the massive bleeding and of the fact that, when it once occur, it is apt to repeat in the course.
The operative result of the gastric resection was very remarkable ; 70% or more return to the completely normal healthy activity, the satisfaction rate of the operation was accounted as 92%. But some neuro-somatic symptoms disappear not always by the operation.
According to the analysis of 7 cases, to whom the operation was in vain, we can point out that the autonomic nervous system may play a main role in the pathogenesis and in the operative prognosis of this disease. To the patient with remarkable unbalanced autonomic nervous system the effect of the operation may prove a poor result.
(author's abstract)
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