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A trial for judgment of gastric ulcer healing using endoscopic ultrasonography eus for the purpose of establishing a new classification of the healing process of gastric ulcer



A trial for judgment of gastric ulcer healing using endoscopic ultrasonography eus for the purpose of establishing a new classification of the healing process of gastric ulcer



Gastroenterological Endoscopy 29(9): 1991-1998



We studied about the possibility of judgement of the healing of gastric ulcer and prediction of the recurrence from a standpoint of the EUS appearance. At first, we defined "White fur echo" as a thick and clear high echo layer of the superficial part of the ulcer base and "Ulcer echo" as a low echo area of the ulcer base. In ulcers of Ul-II, Ul-III and Ul-IV, "White fur echo" was not seen in S1 and S2 stage of endoscopic classification. In ulcers of U1-II, U1-III and U1-IV, "Ulcer echo" was seen in A1 to H2 stage of the endoscopic classification. In ulcers of Ul-II and Ul-III, "Ulcer echo" ws seen in S1 stage. In some ulcers of Ul-IV, "Ulcer echo" was seen in S1 stage. Only in Ul-IV ulcers, "Ulcer echo" was not seen in S2 stage. The Ul-IV ulcer scar with "Ulcer echo" in S1 stage had the possibility of recurrence. The Ul-IV ulcer scar without "Ulcer echo" in S1 stage and S2 stage was not recurrent. Therefore, the healing of ulcer can be judged when "Ulcer echo" disappeared. From these findings, it is suggested that the new endoscopic stage classification including EUS classification is useful for the treatment, judgement of healing and study of recurrence of peptic ulcer.

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Accession: 004641877

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