위내시경으로 진단된 소화성 궤양환자 1501명에 대한 임상적 관찰

The epidemiology and clinical aspect of peptic ulcer is ever-changing along with changes in environment. Therefore, we had a clinical analysis in 1501 patients, who were diagnosed as peptic ulcer with gastroscopy in Chungnam National University Hospital from January 1984 to June 1988. The results were as follows: 1) Of the total 8912 cases of endoscopy, the numbers of patient with gastric ulcer were 784(8.8%), with duodenal ulcer, 591(6.6%) and with combined ulcer, 126(1.4%) 2) The mean age of patients with gastric ulcer was 50.9+14.9, and that with duodenal ulcer was 41.76+13.8. 3) The ratio of males to females was 3.7: 1 in gastric ulcer group and 2.4: 1 in duodenal ulcer group. 4) The most common stympom was epiagastric pain, 48.3% of gastric ulcer patients and 47.2% of duodenal ulcer patients, And the patients with hematemesis and/or melena were 19.5% of gastric ulcer patients and 12.9% of duodenal ulcer patients 5) During the period 1984-1988, the annual proportion of gastric ulcer were 58.8%, 51.4%, 53.3%, 50%, and 50.7%. And that of duodenal ulcer were 36.5%, 39.4%, 38.2%, 40.5%, and 41.1%. 6) The patients with multiple ulcers were 26.5% of gastric ulcer group and 15.7% of duodenal ulcer group. 7) The patients of 78.1% of total peptic ulcer was in active stage, 11% in healing stage, and 10.9% in scarring stage. 8) In 30.8% of gastric ulcers, the size of ulcer was within 1.0 to 1.4 cm and in 31.6% of duodenal ulcers the size of ulcer was less than 0.4 cm. 9) The most common site of gastric ulcer was angle of stomach (42.7%), and that of duodenal ulcer was bulb (98.6%). 10) The proportion of patients with combined ulcer of stomach and duodenum was 8.3% of total patients and that of channel ulcer was 3.1%.