Open AccessPRACTICAL SIGNIFICANCE OF GASTRIC RUGAL FOLDS
Author(s) -
Arthur J. Press
Publication year - 1975
Publication title -
american journal of roentgenology (1976. print)
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.294
H-Index - 196
eISSN - 1546-3141
pISSN - 0361-803X
DOI - 10.2214/ajr.125.1.172
Subject(s) - medicine
A clinical pilot study oriented toward the practical value of gastric fold assessment offers the follow: (1) Younger patients (below 60 years) with carcinomas may have rugose stomachs as opposed to the more usual presentation in the elderly. (2) Some proportionality of gastric fold to acid output may exist in normal patients or cases with peptic disease of the distal stomach or duodenum. In any given case, however, acid secretory capacity may be very broad. (3) Proportionality of fold pattern within the stomach itself or with respect to the duodenum, as noted in the literature, is emphasized. (4) There exists a possible upper limit of "physiologic" fold thickness of 4 to 5 mm. beyond which an additional pathologic process may be inferred. (5) Hypertrophic gastritix and gastric body ulcer disease may illustrate this progression and possibly share similar underlying mucosal pathology and rugal characteristics.