Sierra MRM, Rodríguez MA, Manrique MA

Language: Spanish
References: 12
Page: 181-185
PDF size: 569.21 Kb.

ABSTRACT

lntroduction. Chronic gastritis is a common condition multiple cause, with Helicobacter pylori and NSAIDs, the major etiological factors. In relation to diagnosis divergent concepts exist among clinicians, endoscopists and pathologists, because of poor correlation between the presence of symptoms, endoscopic findings and histopathological description. Aim. Analyze the endoscopic histopathologic correlation in various types of chronic gastritis. Results. We analyzed 121 cases with a diagnosis of chronic gastritis. From the endoscopic standpoint were detected: nonspecific gastritis 62.8%, 23.9% antral follicular gastritis, multifocal atrophic pangastritis and 9% body atrophic gastritis 4.12 %. Regarding histopalógicos findings demonstrated: nonspecific gastritis 35.4%, follicular gastritis 34.7%, 19.4% diffuse corporal gastritis, atrophic gastritis 1.6% and 8.2% normal mucosa. In 53% of all cases were detected mainly in Helicobacter pylori gastritis and follicular non specific. The correlation between endoscopic histopathologic diagnosis was high, with 0.3474 (p = 0.005). Conclusions. Chronic gastritis was more common in women. The variety was the most frequent endoscopic nonspecific, followed by the follicular and the most common histopathological finding was follicular gastritis followed by the diffuse form. In more than half of the cases was present Helicobacter pylori. lt showed a high correlation between endoscopic findings and histological analysis. A biopsy is needed to establish the definitive diagnosis of chronic gastritis and histological variety.

REFERENCES

1. Khakoo SI, Lobo AJ, Shepherd NA, Wilkinson SP, Histological assessment of the Sydney classification of endoscopic gastritis. Gut 1994; 35: 1172-5.

2. Dixon MF, Path FR, Genta MR, Yardley H. Classification and gradind of gastritis: the update Sydney Sistem. Am J Surgical Patol 1996; 28: 1161-81.

3. Grace H, Elta HG, Appelman DH, Behler M, Wilson AJ. A study of the correlation between endoscopic and histological diagnoses in gastroduodenitis. Am J Gastroenterol 1987; 82: 749-53.

4. Sipponen PM. Update on the pathologic aproach to the diagnosis of gastritis gastric atrhopy, and helicobacter pylori and its sequelae. J Clin Gastroenterol 2001; 32: 192-202.

5. Rugge MR, Guido BM. Review Article: What have learn from gastric biopsy? Aliment Pharmacol Ther 2001; 17: 68-74.

6. Sipponen PH, Kekki MY, Haapakoski JL. Gastric cancer risk in chronic atrophic gastritis. Statistical calculations of crosssectional data. lnt J Cancer 1985; 35: 173-7.

7. Carpenter AH, Taley JN. Gastroscopy is incomplete without biopsy: Clinical relevance of distiknguising gastropathy from gastritis; Gastroenterology 1995; 108: 917-92.

8. Sauerbruch TM, Scheriber MA, Schussler PN, et al. Endoscopy in the diagnosis of gastritis. Diagnostic value of endoscopic criteria in relation to histological diagnosis of gastritis. Endoscopy 1984; 16: 101.

9. Dueñas Y, Londoño D, Alvarado J, et al. Sensibilidad y especificidad de la endoscopia para el diagnóstico de gastritis crónica Rev Col Gastroenterol 1991; 6:185-92.

10. Ruiz JB, Garay WJ. Morphometric assessment of gastric antral atrophy: Comparison with visual evaluation; Histopatology 2001; 29: 235-42.

11. Appelman HG. Gatritis, terminology, etiology and clinicopathological correlations-another based view Human Pathol 1994; 25: 1006.

12. Genta RC. Observer varuatuib ub tge assessnebt if chronic gastritis according to the sydney system Histopatology 1994; 25: 317-22.