Finland Department of Pathology, The London Clinic, UK.
J Gastroenterol Hepatol. 2011 Jan;26 Suppl 1:31-4. doi: 10.1111/j.1440-1746.2010.06536.x.
The roots of research into gastritis go back into the early decades of the 20th century. Modern aspects of its classification and knowledge of its biological course and consequences were relatively well known even at the time that Helicobcter pylori was discovered by Robin Warren and Barry Marshall in 1982. This discovery, however, significantly changed the field, establishing that the commonest form of gastritis is simply an infectious disease, a finding that raised enormous interest in the subject amongst gastroenterologists, microbiologists, pathologists and basic researchers. However, many of these "new" players in the field often had a limited knowledge of the morphological aspects of gastric inflammations and chronic gastritis. As a consequence in the late 1980's a Working Party was set up to review the biology and natural course of chronic gastritis, to propose a new classification for gastritis, and to provide simple guidelines for reporting the pathology of gastritis in endoscopic biopsies in an attempt to bring uniformity to the subject and facilitate comparative studies in what was to be an era of high research activity. These guidelines, The Sydney System: A New Classification of Gastritis was presented to the World Congress of Gastroenterology in Sydney in 1990, and was later published as six papers in the Journal of Gastroenterology and Hepatology. Now, twenty years on, this review looks back on the birth of Sydney System and why it is still important and successful.
胃炎研究的起源可以追溯到 20 世纪早期。即使在 1982 年罗宾·沃伦（Robin Warren）和巴里·马歇尔（Barry Marshall）发现幽门螺杆菌（Helicobacter pylori）时，胃炎的现代分类学及其生物学过程和后果的知识也已经相当为人所知。然而，这一发现极大地改变了这一领域，确定最常见的胃炎形式只是一种传染病，这一发现使得胃肠病学家、微生物学家、病理学家和基础研究人员对这一主题产生了极大的兴趣。然而，该领域的许多“新”参与者通常对胃炎症和慢性胃炎的形态学方面的知识有限。因此，在 20 世纪 80 年代后期，成立了一个工作组来审查慢性胃炎的生物学和自然病程，提出胃炎的新分类，并为内镜活检中胃炎的病理学报告提供简单的指南，试图使该主题统一，并促进在高研究活动时代的比较研究。这些指南，悉尼系统：胃炎的新分类，于 1990 年在悉尼举行的世界胃肠病学大会上提出，并随后在《胃肠病学和肝脏病学杂志》上发表了六篇论文。现在，20 年过去了，这篇综述回顾了悉尼系统的诞生以及它为何仍然重要和成功。
