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한국인 만성위염의 (慢性胃炎) 조직학적 (組織學的) 관찰
이정인(Jeong In Lee),박노춘(Noh Choon Park),고영덕(Young Duck Koh),전건웅(Geon Olng Jeon),김경오(Kyung Oh Kim),백옥지(Ok Ji Baik),양웅석(Oong Sheuck Yang) 대한소화기학회 1981 대한소화기학회지 Vol.13 No.2
N/A The authors analyzed the endoscopic and histologic findings in 45 cases of idiopathic chronic gastritis who had taken gastrofiberscopy with 4-point fiberscopic biopsy of the gastric mucosa(pyloric antrum, incisura angularis along the lesser curvature and anterior & posterior wall of the body of the stomach) at Busan Wallace Memorial Baptist Hospital from February 1980 to October 1980. The results obtained were as follows; I) The incidence of idiopathic chronic gastritis was more common in 30-40 age group, male to female ratio being 22: 1. The most frequent type of chronic gastritis was superficial gastritis(71. 1%) and the next was atrophic gastritis(24.4%) 2) There was no difference between younger and elderly group in superfical & hypertropic gastritis but elderly group was more common in atrophic gastritis in relation to type and age incidence. 3) The diagnostic reliability of gastrofiberscopic and histologic diagnosis in view of types of chronic gastritis; superficial gastritis: 71. 9%, atrophic gastritis: 27. 3%. All cases of hypertrophic gastritis was proved as chronic atrophic gastritis histologically. In view of incidence of gastritis at each biopsy site histologically; superficial gastritis was more common at the angle 8: posterior wall of the body, superficial atrophic gastritis, at the posterior wall of the body and atrophic gastritis, at the angle. Normal finding was very common at the anterior wall of the body, 4) The incidence of intestinal metaplasia in chronic gastritis svas 2p. 9% and more oommon above 40 years of age on histologic finding, Those findings suggest increasing frequency of intestinal metaplasia with aging process. The rate of incidence was 32. 6% in male and 21. 5% in female. 5) The incidence of intestinal metaplasia on the natomical location of the stomach was 14. 3% at the angle as the highest incidence, 11. 1% at the antrum, 9. 8% at the anterior wall of the body and 7 1% at the posterior wall of the body. 6) The incidence of intestinal metaplasia in the type of gastritis was 16. 0% in superficial gastritis, 30.O% I:z sup.fic gastritis and 83. 3% in atrophic gastritis. The diagniosis of chronic gastritis would be cofirmed by gastrofiberscopy with direct vision biopsy.