1995 Volume 37 Issue 10 Pages 2176-2184
AGML following upper endoscopic examination(ES)was discussed. At our hospita1 36 cases were experienced for recent 3 years and the frequency of this series was O.429%among total upper Gr endoscopy. The sexual ratio was 21:15 and the mean age was 43.3 years in the male and 48.5 years in the female. AGML developed after the first ES in 22 cases and after the second ES in 8 cases. The frequency of AGIVIL was higher in the younger endoscopists. The endoscopic findings lust before AGML showed almost normal or only a little abnormality. Most of the patients started to feel severe pain and/or nausea 7 to 8 days after ES. Urgent ES revealed hemorrhagic erosion in 30 patients (83.3%). Main lesion occupied the antrum in all cases and spread to the body and/or the bulb in some cases. Despite mental stress or excessivc drinking and eating were suspected to be the cases, the cause of AGML following ES was unknown. The lesions healed earlier than those of the chronic gastric ulcer with conventional antiulcer treatment. In 30 cases followed by repeated ES, the hemorrhagic changes were disappeared in 3 to 4 days and 83.3%of them were healed within 21 days.
