@article{oai:niigata-u.repo.nii.ac.jp:00023670, author = {塚田, 芳久}, issue = {12}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Dec}, note = {In the series of endoscopic examinations of the patients with chronic liver disease, I found the specific gastric mucosal changes, named red colored caviar like gastritis (RCC gastritis). The distinctive features of RCC gastritis were as follows: 1 They were the red spots of gastric mucosa having the appearance just like a red colored caviar. 2. These red spots apperared in the gastric area and were surrounded by a fine white reticular pattern separating the areas. This gastritis occured mainly on the fundal gland regions in greater curvature of gastric body. Histological findings of RCC gastritis were as follows: There were dilated vessels, ectasia of capillaries and veins in the red spots. No acute inflammatory changes were observed, at all. RCC gastritis recognized in 29.4% out of 218 patients with liver cirrhosis and 29.1% out of 24 patients with primary biliary cirrhosis. Mean ICG R15 levels were 29.6% in 45 patients with RCC gastritis and 20.1% in 145 patients without RCC gastritis (statistically significant p<0.01). Percutaneous transhepatic portography was achieved 24 patients in this series. Under the condition of collateral vein routes, they were classified into 3 types. RCC gastritis was recognized at 71.4% in type 1 (paraesophageal route only), 33.3% in type 2 (paraesophageal and other routes), none in type 3 (others except paraesophageal routes). Mean portal vein pressures in patients with RCC gastritis were 362±47mmH_2O and 286±86mmH_2O in without RCC gastritis (p<0.05). In summary, RCC gastritis was pathogenetically congestive gastropathy under the condition of portal hypertention due to chronic liver disease and was considered to take part in the hemorrhagic gastric mucosal lesions in such clinical features.}, pages = {797--803}, title = {慢性肝疾患における特徴的胃体部発赤所見に関する研究}, volume = {101}, year = {1987} }