LYMPHOCYTIC GASTRITIS - A NEWLY DESCRIBED ENTITY - A RETROSPECTIVE ENDOSCOPIC AND HISTOLOGICAL STUDY

LYMPHOCYTIC GASTRITIS - A NEWLY DESCRIBED ENTITY - A RETROSPECTIVE ENDOSCOPIC AND HISTOLOGICAL STUDY
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DOI:
10.1136/gut.29.9.1258
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发表时间:
1988-09-01
期刊:
GUT
影响因子:
24.5
通讯作者:
MAINGUET, P
MAINGUET, P
中科院分区:
医学1区
文献类型:
--
作者:
HAOT, J;HAMICHI, L;MAINGUET, P

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淋巴细胞性胃炎是一种以表面和凹陷上皮内小淋巴细胞聚集为特征的组织病理学改变。为了研究胃镜检查与组织学的相关性,我们回顾了192例根据侵蚀性胃炎或斑疹样胃炎的诊断而选择的观察结果。其中92例为淋巴细胞性胃炎,100例为非特异性胃炎。58例花叶状胃炎的诊断与淋巴细胞性胃炎的组织学表现有很好的相关性(48/58)。当考虑到结节、侵蚀和扩大的褶皱时,相关性更好。淋巴细胞性胃炎具有典型的内窥镜表现,包括结节、糜烂和以胃体为主的大皱折。这与非特异性胃炎不同,非特异性胃炎会影响胃窦,并在扁平的粘膜上产生侵蚀。
Lymphocytic gastritis is a histopathological entity characterised by the accumulation of small lymphocytes in the surface and foveolar epithelium. In order to investigate the correlation between endoscopy and histology in this condition, 192 observations selected on the basis of a presumed diagnosis of erosive or varioliform gastritis were reviewed. Ninety two instances corresponded to lymphocytic gastric, while 100 did not show any particular microscopic features and were labelled non-specific gastritis. There was a good correlation (48 of 58) between the diagnosis of the so-called varioliform gastritis and the histological evidence of lymphocytic gastritis. The correlation was even better when nodules, erosions, and enlarged folds were considered. Lymphocytic gastritis has a typical endoscopical appearance consisting of nodules, erosions, and large folds predominating in the gastric body. This contrasts with non-specific gastritis, which affects the antrum and produces erosions on a flat mucosa.