[Role of gastrofluorography in improving detection of pyloroduodenal stenoses]

To improve the diagnosis of pyloroduodenal stenoses (PDS), it is suggested that persons at high risk for gastrointestinal diseases screened among the polyclinic contingents may be examined. With that purpose in view a specialized gastrofluorographic room was set up at a polyclinic. Gastric fluorography was carried out according to a standardized method based on double opacification. Endoscopy was performed on a random basis depending on the gastrofluorography findings. Over 25,000 investigations were made. 155 cases of PDS were revealed. Of these, 107 were of ulcerous etiology, 38 of tumorous. In 10 cases, PDS was caused by primary injury to the organs adjacent to the stomach. Besides, for the suggested diagnostic program to be more significant, roentgenofluoroendoscopic correlations were made in 106 patients with remarkable clinical manifestations of PDS, that demonstrated its high efficacy. In the authors' opinion, the developed diagnostic program based on the use of gastrofluorography combined with endoscopy is to contribute to an appreciable rise of PDS detectability, particularly at the early stages of the disease.