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Benign gastric filling defect

Journal Article:

Abstract

The gastric lesion is a common source of complaints to Orientals, however, evaluation of gastric symptoms and laboratory examination offer little specific aid in the diagnosis of gastric diseases. Thus roentgenography of gastrointestinal tract is one of the most reliable method for detail diagnosis. On double contract study of stomach, gastric filling defect is mostly caused by malignant gastric cancer, however, other benign lesions can cause similar pictures which can be successfully treated by surgery. 66 cases of benign causes of gastric filling defect were analyzed at this point of view, which was verified pathologically by endoscope or surgery during recent 7 years in Yensei University College of Medicine, Severance Hospital. The characteristic radiological picture of each disease was discussed for precise radiologic diagnosis. 1. Of total 66 cases, there were 52 cases of benign gastric tumor 10 cases of gastric varices, 5 cases of gastric bezoar, 5 cases of corrosive gastritis, 3 cases of granulomatous disease and one case of gastric hematoma. 2. The most frequent causes of benign tumors were adenomatous polyp (35/42) and the next was leiomyoma (4/42). Others were one of case of carcinoid, neurofibroma and cyst. 3. Characteristic of benign adenomatous polyp were relatively small  More>>
Authors:
Oh, K K; Lee, Y H; Cho, O K; Park, C Y [1] 
  1. Yonsei University College of Medicine, Seoul (Korea, Republic of)
Publication Date:
Jun 15, 1979
Product Type:
Journal Article
Resource Relation:
Journal Name: Journal of the Korean Radiological Society; Journal Volume: 15; Journal Issue: 1; Other Information: 43 refs, 15 figs, 7 tabs
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; DEFECTS; DIAGNOSIS; GASTROINTESTINAL TRACT; PATHOLOGY; RADIOLOGY; SURGERY; SYMPTOMS
OSTI ID:
21272137
Country of Origin:
Korea, Republic of
Language:
Korean
Other Identifying Numbers:
Journal ID: ISSN 1738-2637; DBSHAH; TRN: KR1000337021052
Submitting Site:
KRN
Size:
page(s) 149-163
Announcement Date:
Mar 20, 2010

Journal Article:

Citation Formats

Oh, K K, Lee, Y H, Cho, O K, and Park, C Y. Benign gastric filling defect. Korea, Republic of: N. p., 1979. Web.
Oh, K K, Lee, Y H, Cho, O K, & Park, C Y. Benign gastric filling defect. Korea, Republic of.
Oh, K K, Lee, Y H, Cho, O K, and Park, C Y. 1979. "Benign gastric filling defect." Korea, Republic of.
@misc{etde_21272137,
title = {Benign gastric filling defect}
author = {Oh, K K, Lee, Y H, Cho, O K, and Park, C Y}
abstractNote = {The gastric lesion is a common source of complaints to Orientals, however, evaluation of gastric symptoms and laboratory examination offer little specific aid in the diagnosis of gastric diseases. Thus roentgenography of gastrointestinal tract is one of the most reliable method for detail diagnosis. On double contract study of stomach, gastric filling defect is mostly caused by malignant gastric cancer, however, other benign lesions can cause similar pictures which can be successfully treated by surgery. 66 cases of benign causes of gastric filling defect were analyzed at this point of view, which was verified pathologically by endoscope or surgery during recent 7 years in Yensei University College of Medicine, Severance Hospital. The characteristic radiological picture of each disease was discussed for precise radiologic diagnosis. 1. Of total 66 cases, there were 52 cases of benign gastric tumor 10 cases of gastric varices, 5 cases of gastric bezoar, 5 cases of corrosive gastritis, 3 cases of granulomatous disease and one case of gastric hematoma. 2. The most frequent causes of benign tumors were adenomatous polyp (35/42) and the next was leiomyoma (4/42). Others were one of case of carcinoid, neurofibroma and cyst. 3. Characteristic of benign adenomatous polyp were relatively small in size, smooth surface and were observed that large size, benign polyp was frequently type IV lesion with a stalk. 4. Submucosal tumors such as leiomyoma needed differential diagnosis with polypoid malignant cancer. However, the characteristic points of differentiation was well circumscribed smooth margined filling defect without definite mucosal destruction on surface. 5. Gastric varices showed multiple lobulated filling defected especially on gastric fundus that changed its size and shape by respiration and posture of patients. Same varices lesions on esophagus and history of liver disease were helpful for easier diagnosis. 6. Gastric bezoar showed well defined movable mass corresponding to patient's posture, however, larger one lost its movability with irregular shaped, fixed mass and frequent ulceration, so differentiation with malignancy was needed. 7. Radiological pictures of corrosive gastritis were depending on the corrosive agents and acid corrosion showed larger gastric defect. Clinical history and same stenotic lesion on esophagus were helpful for diagnosis. 8. Among the 3 granulomatous lesion, each one case of syphylis, Crohn's disease and tuberculosis was observed. Radiological picture of these lesions needed differentiation with infiltration type of cancer. Benign lesion give relatively intact peristalsis and no significant margin between the pathologic and normal lesion.}
journal = {Journal of the Korean Radiological Society}
issue = {1}
volume = {15}
place = {Korea, Republic of}
year = {1979}
month = {Jun}
}