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GASTRIC PSEUDOLESIONS: ROENTGENOGRAPHIC-GASTROPHOTOGRAPHIC CORRELATION

LEONID CALENOFF M.D. and MARSHALL SPARBERG M.D.

Eighty-two gastroscopic photography examinations were correlated with the roentgen examinations in order to determine the accuracy of the roentgen diagnosis of gastric lesions.

In 14 cases positive roentgen findings resulted in a "negative" gastroscopic photography examination, revealing only a pseudolesion. Nine of the gastric pseudolesion roentgenograms suggested a neoplasm, 4 an ulcer and 1 a polyp.

A variation in the gastric mucosal pattern usually was responsible for the roentgen appearance of the pseudolesion.

The contribution of gastroscopy with photography following an equivocal roentgen examination is discussed in terms of eliminating unwarranted surgery and unnecessarily prolonged medical treatment or hospitalization.


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