Significance of intestinal metaplasia and dysplasia in morphological diagnosis of patients with chronic reflux gastritis
Journal Title: Гастроентерологія - Year 2017, Vol 51, Issue 1
Abstract
The present study was undertaken to analyze biopsies in 120 cases of chronic reflux gastritis with the help of modern histological, histochemical and morphometric methods. Histological study showed atrophic processes in the gastric mucosa in 73.3 % of cases, while in 46.7 %, atrophy was accompanied by deeper processes: intestinal metaplasia and hyperplasia, and in 15.0 % — by dysplasia of gastric glands. Authors proposed the use of the integral index “intestinal metaplasia + dysplasia” as an additional criterion for assessing the severity of precancerous changes in the mucous membrane of the stomach in patients with chronic reflux gastritis, which was significantly associated with hyperplasia of the gastric glands, infection of H.pylori, increasing levels of nitrites and tendency to increase the level of nitrates and gastrin.
Authors and Affiliations
Yu. M. Stepanov, O. M. Kovalenko, N. Yu. Oshmyanska
Improving the Efficiency of Treatment of Patients with Overlap Syndrome Functional dyspepsia and Nonerosive Reflux Disease without the Presence of Helicobacter pylori
In overlap syndrome functional dyspepsia and non-erosive reflux disease (FD/NERD) it is important to evaluate and correct the motor function of the stomach, anxiety-depressive and dyspeptic manifestations which affect th...
Treatment of Anemia in Patients with Inflammatory Bowel Diseases
Anaemia is a frequent systemic manifestation of inflammatory bowel diseases (IBD) which has significant impact on the quality of life, is associated with severity of disease and resistance to therapy. Anaemia in IBD is m...
Syndrome of Portal Hypertension: Possibilities of Modern Diagnosis
The article deals with the possibilities of modern medicine in the diagnosis of portal hypertension syndrome. Diagnostic criteria for ultrasound, endoscopic, radiographic, angiographic and laboratory techniques in the ev...
Blood Lipids in Chronic Pancreatitis Combined with Coronary Heart Disease: Limitations of Correction
Objective. To evaluate the significance of changes in blood lipids in patients with chronic pancreatitis and coronary heart disease in the pathogenesis of comorbidity of these disorders and in the dynamics during treatme...
Liver disorders in patients with ulcerative colitis
Background. The article deals with the chronic inflammatory bowel diseases, in particular, the attention is paid to ulcerative colitis (UC). UC proceeds with the development of a number of extraintestinal lesions, among...