Goffi C, Ledda P, Pisano G, Bernasconi M
Divisione Medicina I, U.S.L. n. 20, Ospedale S. Giovanni di Dio, Cagliari.
Minerva Med. 1990 Sep;81(9):597-600.
With the aim to detect a correlation between endoscopic aspects and histological features of chronic gastritis, the Authors have analysed retrospectively a series of 151 cases where endoscopic alterations were likely due to chronic gastritis and in all cases multiple biopsies were performed. A possible correlation between endoscopy, histology and occurrence of intestinal metaplasia has been carefully evaluated. Only in chronic atrophic gastritis a certain relationship between endoscopic features and histologic diagnosis was detectable: in the same cases a high incidence of intestinal metaplasia was found as well, independently from the severity of endoscopic and/or histologic aspects. The Authors discuss the controversial problems in terminology and endoscopic definition of chronic gastritis.
为了检测慢性胃炎的内镜表现与组织学特征之间的相关性,作者回顾性分析了151例内镜改变可能由慢性胃炎引起的病例,并对所有病例均进行了多次活检。仔细评估了内镜检查、组织学检查与肠化生发生之间的可能相关性。仅在慢性萎缩性胃炎中可检测到内镜特征与组织学诊断之间存在一定关系:在这些病例中,还发现了较高的肠化生发生率,且与内镜和/或组织学表现的严重程度无关。作者讨论了慢性胃炎术语和内镜定义方面存在争议的问题。