Vezzadini P, Pazzaglia M, Bonora G, Tomassetti P, Labò G
Minerva Med. 1985 Jan 14;76(1-2):29-35.
The Authors show and discuss the classification proposed till now for dividing chronic atrophic gastritis into subtypes different in hystological, functional or immunological aspects. In accordance with the more recent reports, the classification into type A, type B and type AB is accepted. Genetical (factor A) and environmental agents (alcohol, smoke, drugs) as well as immunological (parietal and gastrin cell antibodies) and functional abnormalities (duodenogastric reflux), suggested to play a role in the aetiopathogenesis of chronic atrophic gastritis, are also re-examined. Finally, dynamic aspects of chronic atrophic gastritis and its association with anemia and gastric carcinoma are widely reviewed.
作者展示并讨论了迄今为止提出的将慢性萎缩性胃炎分为组织学、功能或免疫学方面不同亚型的分类方法。根据最新报告,分为A型、B型和AB型的分类方法被接受。遗传因素(A因子)、环境因素(酒精、吸烟、药物)以及免疫学因素(壁细胞和胃泌素细胞抗体)和功能异常(十二指肠胃反流),这些被认为在慢性萎缩性胃炎的病因发病机制中起作用的因素,也被重新审视。最后,对慢性萎缩性胃炎的动态方面及其与贫血和胃癌的关联进行了广泛综述。