抄録
Acute gastric lesion in the intracranical disease is well known as Cushing's ulcer. Although there are several reports on clinical features of Cushing's ulcer confirmed by the operation or postmortem examination, little has been shown about early features of acute gastric lesion in head injury. The present study deals with endoscopic observations of acute gastroduodenal lesions seen in 34 cases with head injury.1. Endoscopic findings in 34 cases with head injury showed esophagitis in three cases, acute hemorrhagic gastritis in seven, acute gastric erosion in three, acute gastric ulcer in ten and duodenal ulcer in two. Gastric lesion was found in 80% of patients.2. Acute hemorrhagic gastritis was mainly found in the body of the stomach. Acute gastric ulcer was also seen in the same site and almost all of the lesions were multiple.3. Acute hemorrhagic gastritis was found within one week after head injury. On the contrary, acute gastric ulcer was seen after one week.4. Endoscopic examination revealed acute gastric lesion even in eight of 14 cases in which no gastrointestinal bleeding was occurred.5. The administration of adrenocorticosteroid might affect the occurrence of acute gastric ulcer.
