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ROENTGEN PROBLEMS IN EVALUATING THE ATROPHIC STOMACH OF THE ELDERLY

DAVID BRYK M.D.1 and ALBERTO ELGUEZABAL M.D.2

1 Director of Radiology, The Jewish Hospital and Medical Center of Brooklyn, Brooklyn, New York; Clinical Professor of Radiology, State University of New York, Downstate Medical Center, Brooklyn, New York.
2 Associate Pathologist, The Jewish Hospital and Medical Center of Brooklyn, Brooklyn, New York.

Gastric atrophy in the elderly may cause problems in the interpretation of gastrointestinal studies.

Seventeen such cases are reported: 8 patients showed limited distensibility and irregularity of the distal stomach simulating scirrhous carcinoma; 6 patients showed gastric retention of food; and 3 patients showed gastric retention of oral cholecystographic medium.

Awareness of these phenomena may prevent serious errors in roentgen diagnosis.


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