Conclusions
If we compare the two methods, histologic and gastroscopic, regarding their value for the establishment of the entity; “chronic gastritis,” we find:
-
(1)
The positive findings in histology do not prove the existence of a clinical “disease” of the stomach. Almost every adult shows some interstitial changes in the stomach mucosa as compared with the newborn. To say that ulcer, cancer, or blood diseases, etc., are the result of such histologic changes is permissible only when the changes are very marked.
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(2)
Gastroscopy allows repeated study of the interior of quite healthy individuals and the establishment of a morphologic endoscopy for the normal stomach. Changes of this picture prove, with greatest certainty, the presence of an organic lesion, especially of chronic gastritis. Minor pathologic changes are of the highest clinical and scientific significance.
-
(3)
A method to harmonize anatomic and gastroscopic findings urgently is needed.
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Schindler, R. Relationship of histologic and gastroscopic findings in the diagnosis of chronic gastritis: A brief review. American Journal of Digestive Diseases and Nutrition 3, 153–155 (1936). https://doi.org/10.1007/BF02999098
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DOI: https://doi.org/10.1007/BF02999098