Tsimmerman Ya S, Zakharova Yu A
Klin Med (Mosk). 2017;95(1):8-14.
The authors propose the definition of chronic gastritis with a brief overview of the history of investigation of this diseases and its prevalence with special reference to (1) the bacterial profile and its role in the development of infectious and inflammatory process in gastric mucosa, (2) the modern state of and new trends in the classification of chronic gastritis including their advantages and disadvantages, (3) the relationship between chronic gastritis and functional gastroduodenal dyspepsia syndrome. It is concluded that mucous microflora plays an important factor in the development ofpathology but H.pylori is not its predominant component. Modern classifications of chronic gastritis provide a basis for a deeper insight into evolution of chronic gastritis and its transformation into cancer. The diagnosis of ‘chronic gastritis with functional gastroduodenal dyspepsia syndrome‘ is invalid.
作者提出了慢性胃炎的定义,并简要概述了该疾病的研究历史及其患病率,特别提及了以下方面:(1)细菌谱及其在胃黏膜感染和炎症过程发展中的作用;(2)慢性胃炎分类的现代状况和新趋势,包括其优缺点;(3)慢性胃炎与功能性胃十二指肠消化不良综合征之间的关系。得出的结论是,黏液微生物群在病理发展中起重要作用,但幽门螺杆菌并非其主要成分。慢性胃炎的现代分类为更深入了解慢性胃炎的演变及其向癌症的转变提供了基础。“伴有功能性胃十二指肠消化不良综合征的慢性胃炎”这一诊断是无效的。