Document Detail


Histological study of chronic gastritis from the United Arab Emirates using the Sydney system of classification.
MedLine Citation:
PMID:  7962649     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To determine the prevalence of Helicobacter pylori in five main nationality groups with gastric ulcer, duodenal ulcer, and non-ulcer dyspepsia; and to determine the histopathological types of gastritis and assess the graded variables of Helicobacter associated gastritis. METHODS: Gastric antral and corpus biopsy specimens from 437 patients were examined for the prevalence of H pylori, 337 of which were classified and graded histologically according to the Sydney system. RESULTS: The overall colonisation rate of H pylori was 90%, and there was no significant difference between groups of different ethnic origins. The colonisation rates were 99%, 89%, and 78% in patients with duodenal ulcer, non-ulcer dyspepsia, and gastric ulcer, respectively. Helicobacter associated gastritis was the most common form of chronic gastritis (87%). H pylori density was greater in the antrum than the body. Gastric atrophy in helicobacter associated gastritis was seen in 54% of the cases (43% grade I, 10% grade II, 1% grade III) and increased the older the patients. Atrophy of the corpus alone was very rare (1%). Atrophy and intestinal metaplasia were more prevalent in patients with gastric ulcer than duodenal ulcer. CONCLUSION: The colonisation rate of H pylori was similar in the five groups studied and was almost invariably present in gastric biopsy specimens in patients with duodenal ulcer. H pylori associated gastritis was the most common form of gastritis. Atrophy was mainly of low grade and increased the older the patient.
Authors:
A M Zaitoun
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical pathology     Volume:  47     ISSN:  0021-9746     ISO Abbreviation:  J. Clin. Pathol.     Publication Date:  1994 Sep 
Date Detail:
Created Date:  1994-12-23     Completed Date:  1994-12-23     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0376601     Medline TA:  J Clin Pathol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  810-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Histopathology, Al Quassimi Hospital, Sharjah, UAE.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Child
Chronic Disease
Colony Count, Microbial
Duodenal Ulcer / microbiology
Dyspepsia / microbiology
Female
Gastritis / microbiology*,  pathology
Gastritis, Atrophic / microbiology,  pathology
Helicobacter pylori / isolation & purification*
Humans
Male
Middle Aged
Stomach / microbiology*,  pathology
Stomach Ulcer / microbiology
United Arab Emirates
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