One of the the most important indications for gastrofiberscopic examination of the stomach is to prove or disprove gastric mucosa, extension of gastric mucosal pathology including diagnosis of chronic gastritis. Because of the flexibility and easy manuverability of modern fiberendoscopic instrument, there no longer should be any blind areas of stomach for the endoscopist.
Thus the combination of gastrofiberscopy with directed biopsy is potentially capable of determining with great accuracy wheather or not malignancy and well tolerated procedure, even in the aged patients and children. Morbidity and mortality are nowadays very low.
A histopathologic analysis were performed on 3556 gastrofiberscopic biopsies for understanding gastric diseases among korean.
The results were as follows:
1. Distribution of stomach diseases were chronic gastritis 42.7%, gastric adenocarcinoma 23.3%, peptic ulcer 19.4%, and positive diagnosis by gastrofiberscopy was 86.7%.
2. The highest incidence of chronic gastritis was third_ to fifth decade and the ratio of male to female was 1.7:1.
3. The highest incidence of gastric adenocarcinoma was fourth to sixth decade and the ratio of male to female was 2:1. Histopathologic types of gastric adenocarcinoma were intestinal type 42.9%, undifferentiated type 12.1% and combined type 28.8%, respectively.
4. The highest incidence of peptic ulcer was fourth to fifth decade and the ratio of male to female was 4:1..
5. The highest incidenc of gastric metaplasia was fifth decade and the ratio of male to female was 3: 1.
6. Other benign and malignant gastric tumor were polyp 0.9%, squamous cell carcinoma 0.09%, lymphoma 0.06% and leiomyosarcoma 0.03%, respectively.
7. Coincidence ratio between gastrofiberscopic and histopathologic diagnosis were 86.7% of peptic ulcer and 77.1 % of gastric adenocarcinoma, respectively.
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