Abstract
This paper presents the results of our study of 74 lesions in 71 cases of gastric linear ulcers. In all cases patients complaints were recorded and strict examinations were made, both preoperatively and postoperatively. Thirty-two lesions were discovered in the gastric body and cardiac portion among the 30 cases included in the 71 cases studied.
Cases of linear ulcer were found in patients who were older on average than those who had resected non-linear ulcers. The main cause of resection of gastric linear ulcers was recurrence, the rate of which was 75.5%. The rate of resection of non-linear ulcers for the same reason was 59.6%.
Thirteen of the 55 cases proved to have had recurrence of ulcers did not show any evidence of aggravation of symptoms, indicating that examinations should be repeated every 4 months.
In both the cardiac and body cases, the liner niches were identified at a rate of 75% on the first X-ray examination and of 100% on detailed examination. This was coufirmed by review work done after resection. Actually, however, the rate of correct diagnosis was 93.8% when the preoperative X-ray diagnoses were supported by interpretation of the gastric deformities found. Through interpretation of deformities at both the lesser and greater curvatures and in the whole area of the stomach, the diagnostic accuracy was increased by 12.5%. This rate of improvement in achieving correct diagnosis is as high as that of endoscopic examinations. Interpreting gastric deformities can be an effective device in finding linear ulcers in the cardia and body of the stomach.
