위내시경(胃內視鏡)으로 진단된 단발성(單發性) 양성위궤양(良性胃潰瘍)과 다발성 양성위궤양(良性胃潰瘍)의 비교관찰 = A Comparative Study Between Single Benign Gastric Ulcer and Multiple Benign Gastric Ulcer Based on Gastrofiberscopy

다국어 초록 (Multilingual Abstract)

The clinical phenomenon of multiple benign gastric ulcer (MBGU) has been the subject of' a number of investigations documenting its incidence and clinical features but the clinical significance of MBGU is relatively unknown. There was no report about the MBGU in this country. The purpose of this study is to evaluate the clinical and the gastrofiberscopic findings of a group of patients with MBGU and to compare them with those of patients wit I single beqign gastric ulcer (SBGU) who were encountered during the sarne interval of time.. During the 4 years and 8 months from Jan. 1971 to Aug. 197v, 338 patients were documented as having benign gastric ulcer based on gastrofiberscopy and the stomach mucosal biopsy under the direct vision at Yonsei Medical Center.
The following results were obtained.
1) 227 patients (81.5%) demonstrated SBGU and 61 patients (18.5%) MBGU. The sex ratio of SBGU was 7.7: 1 and MBGU 4.5: 1.
2) 1 he peak incidence of age was 6th decade in SBGU but 4th decade in MBGU.
3) The most common clinical symptoms of the patients was epigastric and upper abdominal pain in both group. The next common one was indigestion in SMGU but nausea or vomiting in MBGU.
4) The duration of clinical symptom was 1/2-1 year (50.2%) in SBGU and below 1/2 year (63.9%) in MBGU.
5) The most frequent site of ulcer was the lesser curvature of the angle and lower body of the stomach in both group. The ulcer in SBGU was large and deep, and in MBGU smal.l and shallow.
6) 48.4% of patients was accurately diagnosed by UGI series in SBGU and only 14.8% in MBGU.