Radiographic findings of intractable gastric ulcers with H2-receptor antagonists |
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Authors: | M Okada T Shirotani T Sakurai T Yao M Seo Y Okada K Sakamoto K Tanaka |
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Institution: | (1) First Department of Internal Medicine, School of Medicine, Fukuoka University 45-1, 7-chome Nanakuma, Jonan-ku, Fukuoka, 814-01, Japan, JP;(2) Department of Gastroenterology, Fukuoka University Chikushi Hospital, Chikushino, Japan, JP;(3) Department of Internal Medicine, Fukuoka Red Cross Hospital, Fukuoka, Japan, JP;(4) Department of Internal Medicine, Kyushu Central Hospital, Fukuoka, Japan, JP;(5) Department of Internal Medicine, Fukuoka City Seijinbyo Hospital, Fukuoka, Japan, JP |
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Abstract: | Background: To clarify the radiographic characteristics of intractable gastric ulcers with H2-receptor antagonists.
Methods: The radiographic findings at the time of starting treatment were compared between 42 patients with gastric ulcers that did
not heal within eight weeks of starting treatment with H2-receptor antagonists (the intractable group) and 58 patients whose ulcers healed within the eight-week period (the tractable
group).
Results: The following radiographic findings in the intractable group were observed at a significantly higher incidence than those
in the tractable group and included: an ulcer located on the angle, linear ulcers, a greater depth, an uneven mound surrounding
an ulcer, prominent folds' convergence, an overhanging gastric mucosa, an irregular ulcer base, a shortening of the lesser
curvature and a U-shaped deformity of the angle. A multiple logistic regression analysis showed that the following three factors
had a significant and independent delaying effect on healing: a U-shaped deformity of the angle, an uneven mound surrounding
an ulcer and prominent folds' convergence. The relative risk of these factors were 12.7, 14.4 and 12.5, respectively.
Conclusions: Intractable gastric ulcer with H2-receptor antagonists can be predicted based on the characteristic radiographic findings at the start of treatment.
Received: 23 December 1994/Accepted: 25 January 1995 |
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Keywords: | : Gastric ulcer< +> — < +> Intractable ulcer< +> — < +> H2receptor antagonists< +> — < +> Radiographic findings< +> — < +> Multivariate analysis |
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