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ID 53138
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Author
Uedo, Noriya
Ishihara, Ryu
Nagai, Kengo
Matsui, Fumi
Ohta, Takashi
Hanafusa, Masao
Hanaoka, Noboru
Takeuchi, Yoji
Higashino, Koji
Iishi, Hiroyasu
Tomita, Yasuhiko
Tatsuta, Masaharu
Abstract
Background:  Barium radiographic studies have suggested the importance of evaluating areae gastricae pattern for the diagnosis of gastritis. Significance of endoscopic appearance of areae gastricae in the diagnosis of chronic atrophic fundic gastritis (CAFG) was investigated by image-enhanced endoscopy. Materials and Methods:  Endoscopic images of the corpus lesser curvature were studied in 50 patients with CAFG. Extent of CAFG was evaluated with autofluorescence imaging endoscopy. The areae gastricae pattern was evaluated with 0.2% indigo carmine chromoendoscopy. Micro-mucosal structure was examined with magnifying chromoendoscopy and narrow band imaging. Results:  In patients with small extent of CAFG, polygonal areae gastricae separated by a narrow intervening part of areae gastricae was observed, whereas in patients with wide extent of CAFG, the size of the areae gastricae decreased and the width of the intervening part of areae gastricae increased (p < 0.001). Most areae gastricae showed a foveola-type micro-mucosal structure (82.7%), while intervening part of areae gastricae had a groove-type structure (98.0%, p < 0.001). Groove-type mucosa had a higher grade of atrophy (p < 0.001) and intestinal metaplasia (p < 0.001) compared with foveola type. Conclusions:  As extent of CAFG widened, multifocal groove-type mucosa that had high-grade atrophy and intestinal metaplasia developed among areae gastricae and increased along the intervening part of areae gastricae. Our observations facilitate our understanding of the development and progression of CAFG.
Keywords
Chronic atrophc fundic gastritis
image enhanced endoscopy
areae gastricae
magnified endoscopy
narrow band imaging
Note
This is the accepted version of the following article: FULLCITE, which has been published in final form at http://dx.doi.org/10.1111/j.1523-5378.2012.00938.x
Published Date
2012-06
Publication Title
Helicobacter
Volume
volume17
Issue
issue3
Start Page
224
End Page
231
Content Type
Journal Article
Related Url
http://ousar.lib.okayama-u.ac.jp/metadata/53127
language
英語
Copyright Holders
© 2012 Blackwell Publishing Ltd
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author
Refereed
True
DOI