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Digestive Diseases and Sciences

, Volume 30, Issue 4, pp 313–320 | Cite as

Gastroduodenal inflammation in patients with nonulcer dyspepsia

A controlled endoscopic and morphometric study
  • Ala U. Toukan
  • M. Faisal Kamal
  • Samir S. Amr
  • Mohammed A. Arnaout
  • Adel S. Abu-Romiyeh
Original Articles

Abstract

Proper control and quantitation are important in the accurate evaluation of gastroduodenal inflammation in dyspeptic patients without ulcers or erosions as proved by endoscopy. The endoscopic findings and the gastroduodenal mucosal inflammatory cell count in 31 patients with nonulcer dyspepsia were compared with an age-matched group of 32 healthy controls. Endoscopy revealed similar mucosal changes and in similar frequency in both groups. Differential mucosal inflammatory cell count showed a statistically significant (P<0.001) increase in the neutrophil count in the gastric body, antrum, and duodenal cap of the dyspeptic group, as well as a slight but significant (P<0.05) increase in the round cell and eosinophil count of the duodenal mucosa alone. No correlation was found between the endoscopic changes and an increase in neutrophil count above a normal level determined by the healthy controls. However, an endoscopically normal mucosa was more likely to be associated with a normal neutrophil count. Active inflammation of the gastroduodenal mucosa likely accounts for the symptoms in patients with nonulcer dyspepsia.

Keywords

Dyspepsia Neutrophil Count Normal Mucosa Round Cell Eosinophil Count 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Plenum Publishing Corporation 1985

Authors and Affiliations

  • Ala U. Toukan
    • 1
    • 2
  • M. Faisal Kamal
    • 1
    • 2
  • Samir S. Amr
    • 1
    • 2
  • Mohammed A. Arnaout
    • 1
    • 2
  • Adel S. Abu-Romiyeh
    • 1
    • 2
  1. 1.Gastroenterology Unit, Department of Medicine, Jordan University HospitalJordan UniversityAmmanJordan
  2. 2.Department of Pathology, Faculty of MedicineJordan UniversityAmmanJordan

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