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KMID : 0378019610040020041
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New Medical Journal
1961 Volume.4 No. 2 p.41 ~ p.52
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A New Roentgenological Studies in Diagnosis of the Tumors and the Ulceration in the Stomach
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Abstract
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The Balloon Insuffiation Method was employed in the present study to make early and differential diagnosis of certain gastric disorders, particularly carcinoma and ulceration in the stomach and much more accurate diagnosis was obtained comparing to gastric examination methods customarily employed.
1. Difference in appearance of ulcer margin between benign and malignant ulcers was so markedly obvious that differential diagnosis of some benign and malignant ulcers which thus far could not be made, was easily reached.
In benign ulcers, a clear and -sharp demarcation was observed, while in malignant ulcers, the ulcer margin showed irregular and hazy.
In case when the ulcer size was same, the size of ulcer crater in the malignant forin became reduced or disappeared as insufflation of balloon increased.
2. A curved linear shadow; along the tumour edge was observed in gastric carcinoma, and it was named "Edge-line" by the author temporarily in this study. The edge-line is produced by the difference in hejght between tumour and normal mucosa levels, or that of tumours themselves. and its inner margin was sharply demarcated by tumour mass, while the outer margin showed an impression of gradual fade-out. In some cases where more than two edge-lines appeared, the outer most edge-line coincided with the tumour border.
3. The gastric wall with carcinoma infiltration or benign organic contraction becomes less elastic and does not expand easily as in normal gastric wall. Therefore, the stronger the insufflation force, the greater the ratio of length between the greater and lesser curvature. When the lesser curvature was mainly involved, the concavity of the lesser curvature became increased as stronger insufflation was applied.
4. Tumour mass protruding into the gastric cavity was clearly demonstrated by the tightly surrounding balloon.
5. In patient with obstructive or stenotic symptom, the stenotic portion was clearly outlined by this method.
6. The Balloon Insufflation Method enables a simultaneous examination of gastric juice. The gastric juice studies by the caffeine meal test and histamine test were also made.
7. The radiation hazard could be reduced by this method because of lesser exposure to both radiologist and patients by reducing the numbers of X-ray pictures.
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