Erosion of Gastric Mucosa — Pathogenesis, Incidence and Classification of the Erosive Gastritis —

Kawai, Keiichi; Shimamoto, Kazuhiko; Misaki, Fumio; Murakami, Katsuhiro; Masuda, Munetaka

doi:10.1055/s-0028-1098457

Cited by 32 publications

(10 citation statements)

References 3 publications

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“…Eight of 14 polypoid lesions taken from the gastroenterostomy stoma of 14 patients by means of endoscopic polypectomy included submucosa and showed wide submucosal cystic glands. Similar appearances though of more limited extent, were encountered in three of 25 polypoid chronic erosions (the so-called 'mature' erosions of Kawai et al 1970) and in four adenomatous polyps endoscopically removed. The changes were also found in six out of 20 surgical specimens from patients operated upon for gastric cancer and in 16 out of 18 surgical gastric resections from patients previously operated upon for benign lesions and thereafter for post-anastomotic ulcer (14 cases) or for cancer of the gastric remnant (four cases).…”

Section: Introductionsupporting

confidence: 54%

Gastritis cystica profunda

Franzin¹,

Novelli²

1981

Histopathology

105

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Fourteen cases of gastritis cystica polyposa, four gastric adenomas and 25 "mature" erosions removed by diathermy at endoscopy were studied by light microscopy. Twenty surgical resections from gastric cancer patients and 18 gastric resections from gastroenterostomy patients previously operated upon for benign lesions were also studied. The mucosa showed consistent changes which were grouped as "gastritis cystica superficialis". Most surgical specimens, three out of 25 "mature" erosions, the four adenomas, and eight cases of gastritis cystica polyposa showed cystic gastric glands within the submucosa closely resembling the changes seen in colitis cystica profunda. Thus the term "gastritis cystica profunda" is proposed. It is suggested that ischaemia and chronic inflammation as well as the effects of surgery and presence of suture material have a role in the pathogenesis of gastritis cystica profunda. A correlation seems to exist between gastritis cystica profunda and gastric ulcer.

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Section: Introductionsupporting

confidence: 54%

Gastritis cystica profunda

Franzin¹,

Novelli²

1981

Histopathology

105

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“…The recent report of Turner et al (1974) of aphthous ulceration in patients with antral gastritis is thus difficult to assess, as this study did not include histology. Others have described persisting erosions (Kawai et al, 1970). Roesch and Ottenjaun (1970) have attempted to classify gastric erosions, using endoscopic appearance and histology of gastric biopsies.…”

Section: Discussionmentioning

confidence: 99%

Multiple recurring gastric erosions/aphthous ulcers).

Morgan¹,

McAdam²,

Pyrah³

et al. 1976

Gut

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“…Few studies in the English literature have focused on VG. An association with duodenal and gastric ulceration and a male predominance were reported in the 1970s [ 1 , 2 ]. In 2010, Yamamoto et al [ 3 ] reported an increasing risk of endoscopic erosive gastritis in adults with a low serum adiponectin level and high body mass index (BMI).…”

Section: Introductionmentioning

confidence: 99%

Verrucous antral gastritis in relation to Helicobacter pylori infection, nutrition, and gastric atrophy

Tsuji

Umehara

Takenaka

et al. 2019

Gastroenterology Report

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Background There have been few studies in the English literature regarding verrucous gastritis (VG). The present study investigated the clinical and endoscopic features of verrucous antral gastritis, especially focusing on Helicobacter pylori infection, nutrition, and gastric atrophy. Methods We performed a retrospective study of patients who underwent routine endoscopy with indigo carmine chromoendoscopy and a comparative study was conducted between VG-positive and VG-negative groups. VG was subdivided into classical and numerous types based on the number and distribution of verrucous lesions. Demographic, clinical, and endoscopic data including body mass index (BMI), serum albumin and cholesterol, gastric atrophy, reflux oesophagitis, Barrett’s oesophagus, and H. pylori status were collected. Univariate and multivariable analyses were performed to identify factors associated with VG. Results We analysed the data of 621 patients undergoing routine endoscopy and found that VG (n = 352) was significantly associated with increased BMI (1.12 [1.05–1.18], P < 0.01), reflux esophagitis (1.96 [1.10–3.28], P < 0.01), and H. pylori negativity with or without a history of eradication (9.94 [6.00–16.47] and 6.12 [3.51–10.68], P < 0.001, respectively). Numerous-type (n = 163) VG was associated with both closed- and open-type gastric atrophy (9.9 [4.04–21.37] and 8.10 [3.41–19.24], P < 0.001, respectively). There were no statistical differences between groups regarding age, sex, total cholesterol, albumin, and bile-colored gastric juice. Conclusions Verrucous antral gastritis was related to increased BMI, reflux esophagitis, and H. pylori negativity. Numerous-type verrucous lesions were associated with gastric atrophy. These indicate that VG may be a physiological phenomenon due to high gastric acidity, mechanical overload, and vulnerability of background mucosa.

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Erosion of Gastric Mucosa — Pathogenesis, Incidence and Classification of the Erosive Gastritis —

Cited by 32 publications

References 3 publications

Gastritis cystica profunda

Gastritis cystica profunda

Multiple recurring gastric erosions/aphthous ulcers).

Verrucous antral gastritis in relation to Helicobacter pylori infection, nutrition, and gastric atrophy

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