70 cases of gastric mucosal erosions were diagnosed by double contrast upper gastrointestinal examinations andendoscopic findings. Analyzing the radiographic findings of these 70 cases of gastric mucosal erosions, thefollowing results were obtained. 1. Among the total 70 cases, 65 cases were typical varioliform erosions showingcentral depressions and surrounding mucosal elevations. Remaining 5 cases were erosions of acute phase havingmultiple irregular depressions without surrounding elevations. 2. The gastric antrum was involved alone or in partin all cases. Duodenal bulb was involved with gastric antrum in 4 cases. 3. The majority of the cases had multipleerosions. There were only 2 cases of single erosion. 4. In 65 cases of varioliform erosions; 1) The diameter ofthe surrounding elevations varied from 3 to 20mm with the majority (47 cases)between 6 and 10mm. 2) In geneal, thesurrounding elevation swith sharp margin on double contrast films were also clearly demonstrated on compressionfilms but those with faint margin were not. 3) The sized of the central barium collections varied from pinpoint to10mm with the majority under 5mm. The shape of the central barium collections in majority of the cases were roundwith a few cases of linear, triangular or star-shape. 5. In 5 cases of acute phase erosions; 1) All the 5 caseswere females. 2) On double contrast radiography, all the cases showed multiple irregular depressed lesions withoutsurrounding elevations. 3) 1 case had the history of hematemesis. 4) In 1 case, there was marked radiologicalimprovement on follow-up study of 2 months interval. 6. In 23 cases, there were coexistent diseases with gastricmucosal erosions. These were 13 cases of duodenal bulb ulcers, 7 cases of benign gastric ulcers and 3 others.
Barium ; Depression ; Female ; Follow-Up Studies ; Hematemesis ; Humans ; Pyloric Antrum ; Radiography ; Stomach Ulcer ; Ulcer

Foreign body ingestion is not uncommon in clinical practice, and it may occasionally lead to penetration injuries. Emergency physicians and radiologists sometimes fail to obtain complete histories including ingestion and may overlook the possibility of foreign body-induced complications. Herein, we report a case of stomach antrum perforation due to foreign body migration. We were unaware of the patient's history of eating the Korean delicacy "Kanjang-gaejang," which is raw crab seasoned with soy sauce. Several imaging diagnostic modalities had suggested the possibility of a malignant mass in the gastrocolic ligament area. During the operation, a crab leg was discovered as the cause of an intra-abdominal abscess. The patient underwent an antrectomy, a vagotomay, and a transverse colon wedge resection. We present this unusual case of a pseudotumorous lesion caused by ingestion of Kanjang-gaejang.
Abscess/microbiology ; Endoscopy, Digestive System ; Foreign-Body Migration/*radiography/ultrasonography ; Humans ; Male ; Middle Aged ; Omentum/*radiography/ultrasonography ; Positron-Emission Tomography ; Pyloric Antrum/radiography ; Rupture ; Stomach/injuries ; Streptococcus/isolation & purification ; Tomography, X-Ray Computed

BACKGROUND: The role of Helicobacter pylori (H. pylori) in the pathogenesis of coronary artery disease (CAD) is still controversial, and the relation between current H. pylori infection and CAD has not been fully examined. This study evaluated the relation between H. pylori infection as confirmed by gastroduodenoscopic biopsy and CAD. METHODS: We determined the presence of H. pylori infections, via gastroduodenoscopy, in 88 patients of the normal coronary angiographic group and also in 175 patients of the CAD group, and the latter patients had more than 50% coronary stenosis angiographically demonstrated. We excluded those patients with a history of previous H. pylori eradication and/or malignancy. A small piece of tissue from the antrum, which was obtained by gastroduodenoscopic biopsy, was stained by Warthin-starry silver stain. We defined a negative staining result that there was no stained tissue in the sample and the stained tissue was also positive for H. pylori infection. RESULTS: There was no significant difference, except for gender, age, smoking and high density lipoprotein cholesterol (HDL-c), of the demographic and laboratory characteristics between the groups. Twenty seven (30.7%) patients of the normal control group and 71 (40.6%) patients of the CAD group were positive of H. pylori infection, yet there was no statistical difference. We angiographically followed up the 80 patients of the CAD group who were treated by percutaneous coronary intervention (PCI) at 6 to 9 months after their primary intervention. Twenty two (37.9%) of the 58 patients of the H. pylori negative group and 10 (45.5%) of the 22 patients of the H. pylori positive group were treated with reintervention, but reintervention was also not significantly different between the group with H. pylori infection and the group without the infection. CONCLUSIONS: These data indicated that H. pylori infection had a modest influence on CAD and progressive atheroma, but the showed a tendency to increase. Further studies are needed to evaluate the relationship between H. pylori infection and CAD.
Aged ; Angioplasty, Transluminal, Percutaneous Coronary ; Biopsy ; Case-Control Studies ; Coronary Angiography ; Coronary Artery Disease/*microbiology/radiography/therapy ; Duodenoscopy ; Female ; Gastroscopy ; Helicobacter Infections/complications/*microbiology/pathology ; Helicobacter pylori/*isolation & purification ; Humans ; Male ; Middle Aged ; Pyloric Antrum/pathology ; Time Factors