Benign gastric ulcer: a reliable radiologic diagnosis?
A review of 7,600 double-contrast barium-meal studies performed between 1975 and 1981 revealed 221 gastric ulcers reported as benign. The follow-up for 199 of these was adequate and detected no case of carcinoma. The widespread practice of immediate endoscopy and biopsy for all cases of radiologically benign gastric ulcer represents a misuse of expensive medical resources. When a gastric ulcer is demonstrated clearly as benign on double-contrast examination, there is no need for endoscopic confirmation of the diagnosis.
D000328:Adult; D001464:Barium; D003287:Contrast Media; D003937:Diagnosis, Differential; D005189:False Positive Reactions; D005260:Female; D005500:Follow-Up Studies; D005773:Gastroscopy; D006801:Humans; D011859:Radiography; D013274:Stomach Neoplasms / Q000000981:diagnostic imaging*; D013276:Stomach Ulcer / Q000000981:diagnostic imaging*
D003287:Contrast Media; D001464:Barium