THE STUDIES ON THE RELATIONSHIP BETWEEN LIVER DISEASE AND DIGESTIVE CANAL DISEASE

Abstract

The relationship between liver disease and digestive canal disease was studied on 1, 201 inpatients in the Digestive Disease Department of Nigon University Itabashi Hospital and on 859 cases of upper GI endoscopy performed for observing mainly on esophagus in the endoscopic suite of the same university hospital in five years from 1980 to 1984. The summary conclusions are as follows. (1) The complication incidence of digestive canal disease in the patients with liver disease was 39.8%, and the complication incidence of liver disease in the patients with digestive canal disease was 21.2%, in the inpatients of the Digestive Disease Department. (2) According to the progress of the liver disease the incidence of complicated gastric and duodenal disease increased. (3) According to the progress of the esophageal varices the incidence of complicated gastric and duodenal disease increased. (4) According to the progress of the esophageal varices the incidence of complicated gastric varices increased. (5) Compared the rate of open ulcer both in normal esophagus and in esophageal varices, the ratio of open ulcer in gastric ulcer is higher than that in duodenal ulcer. (6) The complication incidence of gastric erosions (15.0%) and gastric polyps (9.5%) are high in the patients with esophageal varices. (7) The incidence of gastric erosions (24.7%) and gastric polyps (32.6%) located on the gastric body in esophageal varices cases are somewhat higher than those (19.7%, 28.8%) in normal esophagus cases. (8) According to the progress of esophageal varices the incidence of bleeding from esophageal varices increased. (9) According to the progress of esophageal varices, appearance ratio of R-C sign and incidence of bleeding from R-C sign positive cases increased. (10) The cause of bleeding from upper digestive canal in the case of esophageal varices without R-C sign is gastric or duodenal complication in the most cases.