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KMID : 0377619720230060591
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Korean Jungang Medical Journal
1972 Volume.23 No. 6 p.591 ~ p.602
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A Study on the Clinical and Histological Findings of Chronic Gastritis to Gastric Biopsy (2nd Report)
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朴炅南/Park, Kyung Nam
金悅子/李醇熙/李禎均/李浩璿/金鍾卨/Kim, Yul Ja/Lee, Soon Hee/Lee, Chung Kyun/Lee, Ho Sun/Kim, Chong Suhl
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Abstract
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The authors have had an opportunity to study 188 cases(male:119 cases, Female: 69 cases) of chronic gastritis who underwent the gastric biopsy under direct vision by the Fibergastroscope with GF type B Olympus during the period from September, 1971 to August 1972 at National Medical Center.
The endoscopic diagnosis of chronic gastritis was studied using Schincler´s endoscopic classification together with mixed form. Classification of histological findings of the biopsy specimen according to the standard of Wood and Taft was also used.
In studies on endoscopic findings through gastric biopsy, following conclusions were obtained
1) The endoscopic findings were classified according to Schindler´ s classification with addition of mixed form. Even if the atrophic changes were classified into superficial, atrophic, and atrophic hyperplastic varieties, no ground for the classification by histological findings of the biopsy specimen was obtained. No histological findings confirming the diagnosis of hyperplastic gastritis was obtained.
2) For the classification with histological findings, classification by Wood & Taft, superficial gastritis, atrophic gastritis, and gastric atrophy appears to be adequate.
3) The rate of agreement with endoscopic findings was the highest in atrophic gastritis and gastric atrophy of 73%, followed by 68% of superficial gastritis and 20%normal.
4) The rate of agreement with gastric biopsy findings was the highest in atrophic gastritis of 85% and next was in 59% a superficial gastritis.
5) Superficial gastritis was found in 63%, of subjects below 29 years old of age, decreasing with advance in age. On the contrary, atrophic gastritis increased with advance in age, being most frequent above the age of 50, 56%. Similar relationship was also found in biopsy. Changes according to age were most pronounced in gastric atrophy.
6) On the gastric juice, 58% of superficial gastritis showed hyperchlorhydria, 22% were normal. however, 58% of atrophic gastritis were revealed achlorhdsria, 31% were hypochlorbydria and hypertrophic gastritis were observed hyperchlorhydria.
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KEYWORD
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