[Duodenitis].

E. Zinsser, R. Kühne‐Heid, M. Bergmann, C. Krähenbiel, C. Hering
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Abstract

In 211 bulboscopies 108 normal findings, 29 duodenal ulcers, 44 cases of scar bulb, 4 times erosions of the bulb and 26 times a bulbitis alone (macroscopically) were found. The macroscopic findings duodenitis were confirmed histologically in 85%, the macroscopic findings normal bulbous mucous membrane only in 30% of the cases. In patients with the histological findings duodenitis the bulbous mucous membrane was endoscopically regarded as normal in 70% of the cases. Patients with duodenitis more frequently have an antrum gastritis and less frequently a corpus gastritis than a control group corresponding to age without any macroscopic changes at the stomach and duodenal bulb. On account of its clinico-therapeutic importance is referred to the fact to demarcate the peptic corrosive bulbitis (bulbitis with bulboscopically probable lesion) from the bulbitis without bulboscopic lesion.
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211例十二指肠镜检查发现108例正常,29例十二指肠溃疡,44例瘢痕球部,4例球部糜烂,26例十二指肠炎(宏观)。肉眼表现为十二指肠炎的组织学证实率为85%,肉眼表现为正常球根状粘膜的仅占30%。组织学表现为十二指肠炎的患者,70%的病例内镜检查显示球根状粘膜正常。与相应年龄的对照组相比,十二指肠炎患者胃窦炎发生率较高,而体胃炎发生率较低,未见胃及十二指肠球部的宏观改变。鉴于其临床治疗的重要性,需要区分消化性腐蚀性球炎(有球镜可能病变的球炎)和无球镜病变的球炎。
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