胃高位病变系指贲门以下、小弯垂直部上1/2、包括胃底部的病变。该部位病变的重要性在于:①其病因与胃其它部位者有别;②诊断困难,一般 X 线钡餐检查易遗漏,胃镜必须掌握特殊技巧,否则亦常漏诊。为此,作者总结10年来胃镜检出的130例,并有X 线、病理或手术证实的可靠资料,讨论病因及诊断经验,以提高对胃高位病变的认识。临床资料与检查结果 High gastric lesions refers to the cardia below the small bow on the vertical, including the bottom of the stomach lesions. The importance of the lesion is: ① its cause and other parts of the stomach are different; ② diagnostic difficulties, the general X-ray barium meal easily missed, gastroscope must master the special skills, or often missed diagnosis. To this end, the authors summarize 130 cases of gastroscopy detected in 10 years, and reliable data confirmed by X-ray, pathology or surgery to discuss the etiology and diagnosis experience to improve awareness of high gastric lesions. Clinical data and test results