Kimura K, Satoh K, Taniguchi Y, Ido K, Kihira K, Ohta Y, Yoshida Y
Department of Gastroenterology, Jichi Medical School, Tochigi, Japan.
J Gastroenterol. 1994 Jul;29 Suppl 7:114-9.
The Sydney system for the classification of chronic gastritis is a system for describing the histopathological findings of a biopsy specimen. It involves the analysis of two to four biopsies of the gastric mucosa taken from arbitrary sites, which, taken alone, are insufficient for extrapolation to the diagnosis of the whole stomach. The system seems to be useful as a computer-oriented method fo documenting the histopathological analysis of the two to four biopsy specimens obtained from the arbitrary sites in the antrum or corpus. One biopsy specimen is obtained from the anterior wall of the antrum, the other from the posterior wall. They would be better obtained from the lesser and greater curvatures, which areas would provide more accurate data concerning the antrum or body. While this may be invaluable for researchers with particular interests, it is quite valueless for the majority of clinicians who must diagnose and treat their patients. When a classification is made, its purposes should, firstly, be clear and definite. Secondly, the classification should be simple and easy to use. If a classification is effective, it will be widely used. However, in this field, it is almost impossible to achieve a classification that will fully satisfy all practitioners and researchers with different interests. The Sydney system alone is not sufficient for the classification of chronic gastritis. It is merely a system for describing the histopathological findings of biopsy specimens. It does not allow for an integrated diagnosis of chronic gastritis of the entire stomach.
悉尼慢性胃炎分类系统是一种用于描述活检标本组织病理学检查结果的系统。它涉及对取自任意部位的胃黏膜进行两到四次活检的分析，单独来看，这些活检不足以推断整个胃部的诊断情况。该系统似乎作为一种面向计算机的方法，可用于记录从胃窦或胃体任意部位获取的两到四次活检标本的组织病理学分析。一个活检标本取自胃窦前壁，另一个取自后壁。从胃小弯和胃大弯获取标本会更好，这些部位能提供关于胃窦或胃体更准确的数据。虽然这对有特定兴趣的研究人员可能非常有价值，但对大多数必须诊断和治疗患者的临床医生来说却毫无价值。进行分类时，其目的首先应清晰明确。其次，分类应简单易用。如果一种分类有效，它将被广泛应用。然而，在这个领域，几乎不可能实现一种能完全满足所有不同兴趣的从业者和研究人员的分类。仅悉尼系统不足以对慢性胃炎进行分类。它仅仅是一种描述活检标本组织病理学检查结果的系统。它无法对整个胃部的慢性胃炎进行综合诊断。
