Findings with swan-type double-bending gastrofiberscope.

By using the swan-type double-bending gastrofiberscope, it has become very easy to observe such regions as the cardia, posterior wall of the upper corpus or the pyloric region. The authors can obtain a clear image of the cardia, especially the form of the fold of the region or the esophagogastric junction. The authors recognized that the form changes according to the amount of the inflated air, and the insufficient function of the cardia can be easily diagnosed. The degree and form of the elevation of the posterior wall of the upper corpus of the stomach was observed and classified into three types, flat type, slightly elevated type and highly elevated type. Pathological deformation of this region was studied from the shape of this elevation. By the close observation of the pyloric region, it was clarified that the appearance of the folds may be radiated, transverse at the lesser curvature or entirely lost, being closely related to the presence of the erosions in this region. The healing process of the gastric ulcer was examined endoscopically from the viewpoint of the radiating vessel zone and contraction by the scar. When the capillary vessels are the more prominent finding of a healing ulcer, it tends to form a surface possessing a scar after it is healed and when the contraction is more prominent, it tends to form a linear scar after healing. By the recrudescence of the gastric ulcer, the irregular capillary vessels or deviation of the convergence of the folds are observed, and by the recurrence of the ulcer, coexistence or completion of a scar is observed.