Role of present-day radiography in the diagnosis of peptic ulcer of the stomach
Portnoĭ, L.M.
Vestnik Rentgenologii i Radiologii 3: 5-12
1996
ISSN/ISBN: 0042-4676 PMID: 8928403 Document Number: 466336
In the author's opinion, roentgenology has a great variety of potentialities to add diagnostic data on peptic ulcer with its site in the stomach (PUSS). By using the goal-oriented X-ray study along with endoscopy in over 600 patients with PUSS both for its primary diagnosis and during its treatment and in various posttreatment periods (from 3 to 6 years), the author supposes that X-ray due to its characteristic three-dimensional image of the stomach will provide comprehensive syndrome information as to its benign ulcerations. This also makes some correction in the problem of multiple gastric ulcers whose pathogenesis is rather commonly due to some healing features of large benign ulcerations. The author failed to observe signs of their malignancy in none of more than 600 long-term follow-ups, which made him state that appropriate corrective approaches to this problem should be applied. Active use of X-ray techniques to verify the efficiency of the therapy performed eliminates the bulk of problems in the diagnosis of benign and malignant gastric ulcerations, especially those associated with the differentiation of a post-ulcer scar and early gastric cancer.