Summary
1. A patient suffering from severe hypertrophic ulcerative gastritis was observed over a period of twelve years.
2. The diagnosis could be made only with the use of the gastroscope; X-ray relief technic did not demonstrate the very marked changes of the mucosal relief. Sixty-five gastroscopies were performed.
3. The usual improvement seen in this disease was not observed in this case. Ulceration and extreme pain were present without interruption.
4. In spite of protracted, careful observation, development of a gastritic ulcer into true gastric ulcer was not seen.
5. Coutard’s method of high voltage X-ray therapy caused severe, acute, purulent gastritis and subsequent regeneration of an essentially normal mucous membrane. This picture was seen for one year. The patient seemed to be cured when atrophic gastritis developed as a late result of the therapy.
6. Roentgenologic therapy by Coutard’s method can be recommended only for the most severe cases of hypertrophic ulcerative gastritis which have been observed gastroscopically over long periods and which fail to respond to the usual methods of therapy (diet, rest in bed, lavage, silver, alkali, etc.).
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Schindler, R. Chronic hypertrophic ulcerative gastritis treated by Coutard’s method of roentgen therapy: Case report with unusual course and result. American Journal of Digestive Diseases and Nutrition 3, 751–753 (1936). https://doi.org/10.1007/BF02999256
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DOI: https://doi.org/10.1007/BF02999256