Helicobacter colonization and histopathological profile of chronic gastritis in patients with or without dyspepsia, mucosal erosion and peptic ulcer: A morphological approach to the study of ulcerogenesis in man

Roberto Fiocca, Laura Villani, Ombretta Luinetti, Andrea Gianatti, Maurizio Perego, Costanza Alvisi, Francesca Turpini, Enrico Solcia

Research output: Contribution to journalArticle

Abstract

Helicobacter pylori colonization and the incidence, severity, activity and topography of gastritis were investigated systematically in antrum and corpus mucosal biopsies of 1177 subjects undergoing endoscopy in the absence of gastric complaints (asymptomatic, 49) or for non-ulcer dyspepsia (NUD; 631 patients, 72 of whom had gastric and/or duodenal erosions), active gastric ulcer (GU, 76 patients), active duodenal ulcer (DU, 138 patients), and healed gastric (HGU, 39 cases) or duodenal ulcer (HDU, 230 cases). In the antrum, H. pylori colonization and the incidence, severity and activity of gastritis increased progressively in the sequence asymptomatic, erosion-free NUD, erosive NUD, healed ulcer and active ulcer. The same trend was observed in the corpus as regards H. pylori and gastritis incidence, whereas the severity and activity of gastritis were lower in active DU and erosive NUD and higher in active, proximal GU than in the remaining patients. Active DU and erosive NUD showed the highest incidence of nonatrophic gastritis and lowest type-A or AB atrophic gastritis, while active GU had lowest normal mucosa or type-A gastritis and highest type-B atrophic gastritis. In conclusion, H. pylori colonization and gastritis incidence, severity and, especially, activity of the antrum might all contribute to mucosal erosion and ulceration, whereas the same factors, at least in part and with the exception of proximal GU, seem to have a preventive role when affecting corpus mucosa.

Original languageEnglish
Pages (from-to)489-498
Number of pages10
JournalVirchows Archiv A Pathological Anatomy and Histopathology
Volume420
Issue number6
DOIs
Publication statusPublished - Nov 1992

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Keywords

  • Chronic gastritis
  • Dyspepsia
  • Helicobacter pylori
  • Mucosal erosions
  • Peptic ulcer

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Anatomy

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