Kamada Tomoari, Shiotani Akiko, Haruma Ken
Division of Gastroenterology, Department of Internal Medicine, Kawasaki Medical School.
Nihon Rinsho. 2012 Oct;70(10):1807-11.
Nodular gastritis is a popular endoscopic gastritis in H. pylori-positive children and young adults. The endoscopic findings of nodular gastritis were mainly characterized by a unique, small granulated pattern in the antrum of the stomach. The cases of gastric cancer with nodular gastritis showed the same characteristics: all were diagnosed histologically as the diffuse-type and were located in the corpus with H. pylori infection. We recommended that endoscopists should carefully examine not only the antrum but also the corpus in patients with nodular gastritis, and H. pylori should be eradicated as soon as possible to prevent gastric cancer.
结节性胃炎是幽门螺杆菌阳性儿童和年轻人中常见的一种内镜下胃炎。结节性胃炎的内镜表现主要特征为胃窦部独特的小颗粒状形态。合并结节性胃炎的胃癌病例具有相同特征：所有病例经组织学诊断均为弥漫型，位于胃体部且伴有幽门螺杆菌感染。我们建议内镜医师对结节性胃炎患者不仅要仔细检查胃窦部，还要检查胃体部，并且应尽快根除幽门螺杆菌以预防胃癌。
