Abstract
Behaviors of the antral mucosa correlating to the course of gastric ulcer were studied on 2713 GTF films and 445 photographs of resected stomachs. In this study, antral lesions were classified into antral edema, hemorrhagic spot, and gastritis verrucosa. The antral edema includes simple edema and edema associated with erosions localized at the antral mucosa. The hemorrhagic spot was defined as spot-like lesions spreading on the antral mucosa. The antral edema was found more frequently in the stomachs with ulcer than in the stomachs without it. The hemorrhagic spot was rarely observed in non-ulcerated stomach but sometimes followed by development of gastric ulcer. An analysis was attempted in the correlation between the course of gastric ulcer and the antral lesions, and revealed that antral edema and gastritis verrucosa were observed more frequently in the groups of ulcer which healed spending over six months and of recurrent ulcer than in the group of ulcer which healed within six months. Gastritis verrucosa was found in 5.6% of the stom-achs resected for gastric ulcer and in the same frequency of the stomachs with ulcer which was treated medically and followed by endoscopy. From the results above mentioned it can be concluded that appearance of the antral lesions in the course of gastric ulcer may signify hardness of prompt cure of the ulcer.
