Schmitz-Moormann P, Leuthold U
Leber Magen Darm. 1979 Feb;9(1):15-9.
Partial gastrectomy was performed in 23 patients for different reasons, and the specimens recovered were investigated histologically. Localization and size of inflammatory and atrophic changes were looked for especially. Inflammatory lesions of the fundus area are distributed primarily as spots and do not spread continuously; they extend from the aboral gastric region to the upper parts of the stomach. These alterations start as small and spot-like lesions, increase in size and join neighbouring lesions to form larger inflammatory areas. Atrophic alterations of the mucosa generally develop in the same way as inflammatory lesions occurring most frequently in the antral zone and in the adjacent areas of the fundus as well; however patterns of distribution of inflammatory and atrophic changes do not seem to correlate well in the individual case.
23例患者因不同原因接受了部分胃切除术，并对切除标本进行了组织学检查。尤其关注炎症和萎缩性改变的定位及大小。胃底部区域的炎性病变主要呈斑点状分布，并不连续扩散；它们从胃远侧区域延伸至胃上部。这些改变起始为小的斑点状病变，随后增大并与相邻病变融合形成更大的炎症区域。黏膜的萎缩性改变通常与窦区及胃底部相邻区域最常见的炎性病变发展方式相同；然而，在个体病例中，炎症和萎缩性改变的分布模式似乎并无很好的相关性。
