"""Panbulbar ulcer""について"

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  • PANBULBAR ULCER: REPORT OF 4 CASES

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We defined a duodenal ulcer with broad, whitish exudates involving the duodenal bulb almost entirely, as panbulbar ulcer, and experienced 4 cases in 233 duodenal ulcer cases. We classified the panbulbar ulcer into two types. As the first type, we experienced 3 cases which were considered as a repeated case of duodenal ulcer. In these cases demonstrating phthisis bulbi roentogenologically, the whitish exudates were always found in the duodenal bulb endoscopically during the period of treatment. As the second type, we experienced one case diagnosed as acute duodenal ulcer with broad, superficially whitish exudates. In contrast to the first type, a deformity of the duodenal bulb was not so significant roentogenologically. From the study of these cases, endoscopical examination, especially with a small-caliber panendoscope, would provide to us many important informations on the panbulbar ulcer. Performing both endoscopic and fluoroscopic examinations are more useful than doing either one for the decision of operative indication.

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