Gastric ulcers: A comparison of surgical, radiological, and pathological diagnosis

Abstract

The surgical, radiological, and pathological diagnoses of 319 patients who had had a partial gastrectomy for a preoperative diagnosis of benign gastric ulcer were compared. Pathological examination of the excised stomach showed 79.6 per cent with ulcers, 8.1 per cent with scars only, and 12.3 per cent without evidence of active or healed ulceration. This latter group comprised 38 patients, in 17 of whom there was no definite radiological evidence of ulceration. Barium meals demonstrated gastric ulcers in 214 patients; 193 (90.2 per cent) of these were confirmed pathologically.