抄録
Gastric endoscopic examination was carried out in 40 patients suffering from acute viral hepatitis at the time of admission to and at discharge from the hospital.
At the time of admission, 6 patients (15%) were suffering from superficial gastritis, 12 (30%) from gastric erosion, and 6 (15%) from erosive gastritis.
These gastric mucosal lesions appeared more frequently in the patients under 30 years. This tendency was particularly evident in the case of superficial gastritis. As for the sites of predilection for erosion, the pyrolic antrum came first, and then the corpus ventriculi.
These gastric mucosal lesions appeared more frequently in the patients exhibiting gastrointestinal symptoms. Simultaneous existence of superficial gastritis and erosive gastritis could be one of the causes of the early digestive symptoms of acute viral hepatitis. Of all the gastric mucosal lesions, gastric erosion and erosive gastritis became less serous as the patients underwent the medical treatment for acute viral hepatitis, but superficial gastritis appeared to resist treatment.
Gastric juice examinations were conducted in 25 patients with auto viral hepatitis at the time of admission and at the time of discharge. The BAO and MAO values of their gastric juice at the time of admission did not show any difference from those values at the time of discharge.
On the other hand, the BAO values at the time of admission were a little higher in the case of gastric mucosal lesions (+) than in the case of simultaneous existence of superficial gastritis and erosive gastrit.