球部内反転法が確定診断に有用であった早期胃癌十二指腸脱出の2症例

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  • TWO CASES OF EARLY GASTRIC CANCER PROLAPSING INTO THE DUODENAL BULB DIAGNOSED BY THE ENDOSCOPIC Intrabulbar Retroflexion Method

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It is very important for surgical treatment of gastric cancer to accurately identify the area infiltrated by cancer cells preoperatively. In these two years we have practised the endoscopic intrabulbar retroflexion method to diagnose the infiltration of gastric cancer to the duodenum through the pyloric ring. In Z cases of polypoid early gastric carcinoma prolapsed into the duodenal bulb, we examined endoscopically by the intrabulbar retroflexion method. The whole aspect of the prolapsed gastric carcinoma into the duodenal bulb could be easily observed and diagnosed accurately. The endoscopic intrabulbar retroflexion method must be useful not only for diagnosis of duodenal infiltration of gastric cancer, but also for observation of the prolapsed polypoid gastric cancer into the duodenal bulb.

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