J.Jpn. Surg. Soc.. 55(7): 752-753, 1954
Others
Clinical Criteria for Gastrectomy in Chronic Gastritis
|
Department of Surgery, Nagoya City Medical School Fujio HIEDA |
They are as follows :
The first group is gastritis in which irregular granular rugae in the antral area are found radiologically, lacking normal rugal fold anywhere. Acidity of gastric juice is low or lacking.
Microscopic examination of the stomach in these cases reveals certain changes to be called "precancerous".
In the second group enlarged rugae are found by X-ray and the acidity is high or normal. Histologically, hypertrophic gastritis is revealed.
The third group : The rugal folds are fine and the acidity is low or lacking.
In this group the gastritis of atrophic type.
In the first group partial gastrectomy may be recommended for prophylaxis of gastric malignancy.
In the remaining groups, however, there were some cases in which the gastric symptoms subsided by X-ray irradiation on diencephalon, but in other cases, in which varied conservative treatment failed to improve the symptoms for a long time, gastrectomy seems to be a method of choice.
Operative resu lts : Some sort of gastric symptoms were noted in a majority of cases for the first half of a year, but most of them were improved within succeeding half of a year, and it was only three cases out of forty five t hat the procedures failed to obtain good results. In these cases marked gastritis and atony of the remaining stomach were noted by X-ray.
Such postoperative atony, being more common in gastritis than in peptic ulcer, is a probable cause of the symptoms, it is concluded that some of the prophylactic means are necessary.
(author's abstract)
To read the PDF file you will need Adobe Reader installed on your computer.