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British Journal of Radiology (1981) 54, 651-654
© 1981 British Institute of Radiology
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The British Journal of Radiology, Vol 54, Issue 644 651-654, Copyright © 1981 by British Institute of Radiology

ARTICLES

Benign greater curve gastric ulcer: the "sump-ulcer"

RE Kottler and RJ Tuft

Twenty-six cases of greater curve gastric ulcers are presented, of which all but one were benign. There appears to have been an increased occurrence of benign greater curve gastric ulcers in our institution. By using a double contrast barium examination diagnostic accuracy was high, although endoscopy and biopsy are required for confirmation. Greater curve gastric ulcers were commonest in elderly patients with concomitant disease and a high intake or oral drugs, particularly analgesics, potassium chloride supplements and steroids. The constant location of the ulceration in the most dependent part of the stomach suggests a causal relationship with drug ingestion in these patients. The term "sump-ulcer" is suggested. A relatively high incidence of perforation and gastrocolic fistulae was found. It would appear that gastrocolic fistulae from benign peptic ulcer disease, previously thought to be excessively rare, are becoming more commonly recognized.


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S. E. Rubesin, M. S. Levine, and I. Laufer
Double-Contrast Upper Gastrointestinal Radiography: A Pattern Approach for Diseases of the Stomach
Radiology, January 1, 2008; 246(1): 33 - 48.
[Abstract] [Full Text] [PDF]


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