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Experience with 1000 fibergastroscopic examinations of the stomach

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Summary

1. One thousand patients had examinations of the stomach by Fiberscope and by X-ray and conventional gastroscope.

2. Of 282 gastric ulcers visualized with the Fiberscope, 9 were diagnosed incorrectly; 6 benign ulcers were called malignant and 3 malignant ulcers were called benign, for an over-all accuracy of 97%.

3. All but one of the 79 carcinomas of the stomach were visualized by X-ray examination and/or the Fiberscope.

4. The Fiberscope was also of particular value in the examination of the stomach and the prepyloric area postoperatively.

5. The duodenum was not entered with certainty in any examination.

6. There was a major complication rate of 0.19%-3 perforations in 1514 examinations.

7. More lesions were correctly identified by using both procedures than with either alone; we feel that the fibergastroscopic examination of the stomach complements and extends the radiologic examination.

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Cohen, N.N., Hughes, R.W. & Manfredo, H.E. Experience with 1000 fibergastroscopic examinations of the stomach. Digest Dis Sci 11, 943–950 (1966). https://doi.org/10.1007/BF02233083

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  • DOI: https://doi.org/10.1007/BF02233083

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