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Pathology of non-Helicobacter pylori gastritis: extending the histopathologic horizons

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Abstract

The development of modern endoscopic techniques, easier and greater access to healthcare, and interest in Helicobacter pylori infection and its implications have all led to a significant increase in upper endoscopies. In turn, gastroenterologists and pathologists have been recognizing an ever-increasing number of patterns of mucosal injury. Consequently, there is now an interest in a wider aspect of non-neoplastic gastric pathology, namely, non-HP (H. pylori) gastritis. In this review, we present major clinico-pathological entities, based on either the salient morphological features or the underlying etiologies.

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References

  1. Hinnant KL, Rotterdam HZ, Bell ET, Tapper ML. Cytomegalovirus infection of the alimentary tract: a clinicopathological correlation. Am J Gastroenterol. 1986;81:944–50.

    CAS  PubMed  Google Scholar 

  2. Bonnet F, Neau D, Viallard JF, Morlat P, Ragnaud JM, Dupon M, et al. Clinical and laboratory findings of cytomegalovirus infection in 115 hospitalized non-immunocompromised adults. Ann Med Interne (Paris). 2001;152:227–35.

    CAS  Google Scholar 

  3. Emory TS, Carpenter HA, Gostout CJ, Sobin LH. Atlas of gastrointestinal endoscopy and endoscopic biopsies. Washington, DC: Armed Forces Institute of Pathology; 2000.

    Google Scholar 

  4. Xiao SY, Hart J. Marked gastric foveolar hyperplasia associated with active cytomegalovirus infection. Am J Gastroenterol. 2001;96:223–6.

    CAS  PubMed  Google Scholar 

  5. Goldman H. Gastrointestinal mucosal biopsy. In: Goldman H, editor. Inflammatory diseases of the stomach. New York: Churchill Livingstone; 1996.

    Google Scholar 

  6. Andrade JS, Bambirra EA, Lima GF, Moreira EF, De Oliveira CA. Gastric cytomegalic inclusion bodies diagnosed by histologic examination of endoscopic biopsies in patients with gastric ulcer. Am J Clin Pathol. 1983;79:493–6.

    Google Scholar 

  7. Rivera-Vaquerizo PA, Gomez-Garrido J, Vicente-Gutierrez M, Blasco-Colmenarejo M, Mayor-Lopez J, Perez-Flores R. Varicella zoster gastritis 3 years after bone marrow transplantation for treatment of acute leukemia. Gastrointest Endosc. 2001;53:809–10.

    CAS  PubMed  Google Scholar 

  8. Kitayama Y, Honda S, Sugimura H. Epstein–Barr virus-related gastric pseudolymphoma in infectious mononucleosis. Gastrointest Endosc. 2000;52:290–1.

    CAS  PubMed  Google Scholar 

  9. Chen ZM, Shah R, Zuckerman GR, Wang HL. Epstein–Barr virus gastritis: an underrecognized form of severe gastritis simulating gastric lymphoma. Am J Surg Pathol. 2007;31:1446–51.

    PubMed  Google Scholar 

  10. Binmoeller KF, Benner KG. Emphysematous gastritis secondary to gastric infarction. Am J Gastroenterol. 1992;87:526–9.

    CAS  PubMed  Google Scholar 

  11. Bron BA, Deyhle P, Pelloni S, Krejs GJ, Siebenmann RE, Blum AL. Phlegmonous gastritis diagnosed by endoscopic snare biopsy. Am J Dig Dis. 1977;22:729–33.

    CAS  PubMed  Google Scholar 

  12. Mittleman RE, Suarez RV. Phlegmonous gastritis associated with the acquired immunodeficiency syndrome/pre-acquired immunodeficiency syndrome. Arch Pathol Lab Med. 1985;109:765–7.

    CAS  PubMed  Google Scholar 

  13. O’Toole PA, Morris JA. Acute phlegmonous gastritis. Postgrad Med J. 1988;64:315–6.

    PubMed  Google Scholar 

  14. Staroverov VV, Kisel AT, Sumarokov UA, Kachanova TN. A case of phlegmonous gastritis diagnosed by echography. Eur J Ultrasound. 2001;13:197–200.

    CAS  PubMed  Google Scholar 

  15. Palmer ED. Tuberculosis of the stomach and the stomach in tuberculosis; a review with particular reference to gross pathology and gastroscopic diagnosis. Am Rev Tuberc. 1950;61:116–30.

    CAS  PubMed  Google Scholar 

  16. Chazan BI, Aitchison JD. Gastric tuberculosis. Br Med J. 1960;5208:1288–90.

    Google Scholar 

  17. Bhansali SK. Abdominal tuberculosis. Experiences with 300 cases. Am J Gastroenterol. 1977;67:324–37.

    CAS  PubMed  Google Scholar 

  18. Marshall JB. Tuberculosis of the gastrointestinal tract and peritoneum. Am J Gastroenterol. 1993;88:989–99.

    CAS  PubMed  Google Scholar 

  19. Benson CA. Disease due to the Mycobacterium avium complex in patients with AIDS: epidemiology and clinical syndrome. Clin Infect Dis. 1994;18(Suppl 3):S218–22.

    PubMed  Google Scholar 

  20. Berardi RS. Abdominal actinomycosis. Surg Gynecol Obstet. 1979;149:257–66.

    CAS  PubMed  Google Scholar 

  21. Besses C, Sans-Sabrafen J, Badia X, Rodriguez-Mendez F, Salord JC, Armengol JR. Ulceroinfiltrative syphilitic gastropathy: silver stain diagnosis from biopsy specimen. Am J Gastroenterol. 1987;82:773–4.

    CAS  PubMed  Google Scholar 

  22. Beckman JW, Schuman BM. Antral gastritis and ulceration in a patient with secondary syphilis. Gastrointest Endosc. 1986;32:355–6.

    CAS  PubMed  Google Scholar 

  23. Anai H, Okada Y, Okubo K, Okamura T, Sakaguchi Y, Maehara Y, et al. Gastric syphilis simulating linitis plastica type of gastric cancer. Gastrointest Endosc. 1990;36:624–6.

    CAS  PubMed  Google Scholar 

  24. Chen CY, Chi KH, George RW, Cox DL, Srivastava A, Rui Silva M, et al. Diagnosis of gastric syphilis by direct immunofluorescence staining and real-time PCR testing. J Clin Microbiol. 2006;44:3452–6.

    CAS  PubMed  Google Scholar 

  25. Loffeld RJ, Loffeld BC, Arends JW, Flendrig JA, van Spreeuwel JP. Fungal colonization of gastric ulcers. Am J Gastroenterol. 1988;83:730–3.

    CAS  PubMed  Google Scholar 

  26. Cherney CL, Chutuape A, Fikrig MK. Fatal invasive gastric mucormycosis occurring with emphysematous gastritis: case report and literature review. Am J Gastroenterol. 1999;94:252–6.

    CAS  PubMed  Google Scholar 

  27. Forester G, Sidhom O, Nahass R, Andavolu R. AIDS-associated cryptosporidiosis with gastric stricture and a therapeutic response to paromomycin. Am J Gastroenterol. 1994;89:1096–8.

    CAS  PubMed  Google Scholar 

  28. Garone MA, Winston BJ, Lewis JH. Cryptosporidiosis of the stomach. Am J Gastroenterol. 1986;81:465–70.

    CAS  PubMed  Google Scholar 

  29. Wurtz R, Mirot M, Fronda G, Peters C, Kocka F. Short report: gastric infection by Strongyloides stercoralis. Am J Trop Med Hyg. 1994;51:339–40.

    CAS  PubMed  Google Scholar 

  30. Kim J, Joo HS, Kim DH, Lim H, Kang YH, Kim MS. A case of gastric strongyloidiasis in a Korean patient. Korean J Parasitol. 2003;41:63–7.

    PubMed  Google Scholar 

  31. Chamberlain CE. Acute hemorrhagic gastritis. Gastroenterol Clin North Am. 1993;22:843–73.

    CAS  PubMed  Google Scholar 

  32. Wolfe MM, Lichtenstein DR, Singh G. Gastrointestinal toxicity of nonsteroidal antiinflammatory drugs. N Engl J Med. 1999;340:1888–99.

    CAS  PubMed  Google Scholar 

  33. Franzin G, Manfrini C, Musola R, Rodella S, Fratton A. Chronic erosions of the stomach––a clinical, endoscopic and histological evaluation. Endoscopy. 1984;16:1–5.

    CAS  PubMed  Google Scholar 

  34. Doria MI Jr, Doria LK, Faintuch J, Levin B. Gastric mucosal injury after hepatic arterial infusion chemotherapy with floxuridine. A clinical and pathologic study. Cancer. 1994;73:2042–7.

    PubMed  Google Scholar 

  35. Choi HY, Takeda M. Gastric epithelial atypia following hepatic arterial infusion chemotherapy. Diagn Cytopathol. 1985;1:241–4.

    CAS  PubMed  Google Scholar 

  36. Petras RE, Hart WR, Bukowski RM. Gastric epithelial atypia associated with hepatic arterial infusion chemotherapy. Its distinction from early gastric carcinoma. Cancer. 1985;56:745–50.

    CAS  PubMed  Google Scholar 

  37. Oble DA, Mino-Kenudson M, Goldsmith J, Hodi FS, Seliem RM, Dranoff G, et al. Alpha-CTLA-4 mAb-associated panenteritis: a histologic and immunohistochemical analysis. Am J Surg Pathol. 2008;32:1130–7.

    PubMed  Google Scholar 

  38. Novak JM, Collins JT, Donowitz M, Farman J, Sheahan DG, Spiro HM. Effects of radiation on the human gastrointestinal tract. J Clin Gastroenterol. 1979;1:9–39.

    CAS  PubMed  Google Scholar 

  39. Berthrong M, Fajardo LF. Radiation injury in surgical pathology. Part II. Alimentary tract. Am J Surg Pathol. 1981;5:153–78.

    CAS  PubMed  Google Scholar 

  40. Ogawa F, Mino-Kenudson M, Shimizu M, Ligato S, Lauwers GY. Gastroduodenitis associated with yttrium 90-microsphere selective internal radiation: an iatrogenic complication in need of recognition. Arch Pathol Lab Med. 2008;132:1734–8.

    PubMed  Google Scholar 

  41. Newland LR, Walsh A, Gilbert DR, Buckland ME. Selective internal radiation therapy: a case of SIR-sphere associated duodenal ulceration. Pathology. 2007;39:526–8.

    CAS  PubMed  Google Scholar 

  42. Welsh JS, Kennedy AS, Thomadsen B. Selective internal radiation therapy (SIRT) for liver metastases secondary to colorectal adenocarcinoma. Int J Radiat Oncol Biol Phys. 2006;66:S62–73.

    CAS  PubMed  Google Scholar 

  43. Liu LX, Zhang WH, Jiang HC. Current treatment for liver metastases from colorectal cancer. World J Gastroenterol. 2003;9:193–200.

    PubMed  Google Scholar 

  44. Gulec SA, Fong Y. Yttrium 90 microsphere selective internal radiation treatment of hepatic colorectal metastases. Arch Surg. 2007;142:675–82.

    CAS  PubMed  Google Scholar 

  45. Evans J. Ablative and catheter-delivered therapies for colorectal liver metastases (CRLM). Eur J Surg Oncol. 2007;33(Suppl 2):S64–75.

    PubMed  Google Scholar 

  46. Weisdorf DJ, Snover DC, Haake R, Miller WJ, McGlave PB, Blazar B, et al. Acute upper gastrointestinal graft-versus-host disease: clinical significance and response to immunosuppressive therapy. Blood. 1990;76:624–9.

    CAS  PubMed  Google Scholar 

  47. Roy J, Snover D, Weisdorf S, Mulvahill A, Filipovich A, Weisdorf D. Simultaneous upper and lower endoscopic biopsy in the diagnosis of intestinal graft-versus-host disease. Transplantation. 1991;51:642–6.

    CAS  PubMed  Google Scholar 

  48. Washington K, Bentley RC, Green A, Olson J, Treem WR, Krigman HR. Gastric graft-versus-host disease: a blinded histologic study. Am J Surg Pathol. 1997;21:1037–46.

    CAS  PubMed  Google Scholar 

  49. Snover DC, Sibley RK, Freese DK, Sharp HL, Bloomer JR, Najarian JS, et al. Orthotopic liver transplantation: a pathological study of 63 serial liver biopsies from 17 patients with special reference to the diagnostic features and natural history of rejection. Hepatology. 1984;4:1212–22.

    CAS  PubMed  Google Scholar 

  50. Snover DC, Weisdorf SA, Vercellotti GM, Rank B, Hutton S, McGlave P. A histopathologic study of gastric and small intestinal graft-versus-host disease following allogeneic bone marrow transplantation. Hum Pathol. 1985;16:387–92.

    CAS  PubMed  Google Scholar 

  51. Abraham SC, Yardley JH, Wu TT. Erosive injury to the upper gastrointestinal tract in patients receiving iron medication: an underrecognized entity. Am J Surg Pathol. 1999;23:1241–7.

    CAS  PubMed  Google Scholar 

  52. Marginean EC, Bennick M, Cyczk J, Robert ME, Jain D. Gastric siderosis: patterns and significance. Am J Surg Pathol. 2006;30:514–20.

    PubMed  Google Scholar 

  53. Iacobuzio-Donahue CA, Lee EL, Abraham SC, Yardley JH, Wu TT. Colchicine toxicity: distinct morphologic findings in gastrointestinal biopsies. Am J Surg Pathol. 2001;25:1067–73.

    CAS  PubMed  Google Scholar 

  54. Greenson JK, Trinidad SB, Pfeil SA, Brainard JA, McBride PT, Colijn HO, et al. Gastric mucosal calcinosis. Calcified aluminum phosphate deposits secondary to aluminum-containing antacids or sucralfate therapy in organ transplant patients. Am J Surg Pathol. 1993;17:45–50.

    CAS  PubMed  Google Scholar 

  55. Stroehlein KB, Stroehlein JR, Kahan BD, Gruber SA. Gastric mucosal calcinosis in renal transplant patients. Transplant Proc. 1999;31:2124–6.

    CAS  PubMed  Google Scholar 

  56. Saab S, Venkataramani A, Behling CA, Savides TJ. Gastric mucosal calcinosis in a patient with dyspepsia. J Clin Gastroenterol. 1996;22:156–64.

    CAS  PubMed  Google Scholar 

  57. Abraham SC, Bhagavan BS, Lee LA, Rashid A, Wu TT. Upper gastrointestinal tract injury in patients receiving kayexalate (sodium polystyrene sulfonate) in sorbitol: clinical, endoscopic, and histopathologic findings. Am J Surg Pathol. 2001;25:637–44.

    CAS  PubMed  Google Scholar 

  58. Sobala GM, O’Connor HJ, Dewar EP, King RF, Axon AT, Dixon MF. Bile reflux and intestinal metaplasia in gastric mucosa. J Clin Pathol. 1993;46:235–40.

    CAS  PubMed  Google Scholar 

  59. Dixon MF, O’Connor HJ, Axon AT, King RF, Johnston D. Reflux gastritis: distinct histopathological entity? J Clin Pathol. 1986;39:524–30.

    CAS  PubMed  Google Scholar 

  60. Warshaw AL. Bile gastritis without prior gastric surgery: contributing role of cholecystectomy. Am J Surg. 1979;137:527–31.

    CAS  PubMed  Google Scholar 

  61. DeNardi FG, Riddell RH. Reactive (chemical) gastropathy and gastritis. In: Graham DY, Genta RM, Dixon MF, editors. Gastritis. Philadelphia: Lippincott Williams & Wilkins; 1999.

    Google Scholar 

  62. Sobala GM, King RF, Axon AT, Dixon MF. Reflux gastritis in the intact stomach. J Clin Pathol. 1990;43:303–6.

    CAS  PubMed  Google Scholar 

  63. Quinn CM, Bjarnason I, Price AB. Gastritis in patients on non-steroidal anti-inflammatory drugs. Histopathology. 1993;23:341–8.

    CAS  PubMed  Google Scholar 

  64. Haber MM, Lopez I. Gastric histologic findings in patients with nonsteroidal anti-inflammatory drug-associated gastric ulcer. Mod Pathol. 1999;12:592–8.

    CAS  PubMed  Google Scholar 

  65. Wallace JL. Nonsteroidal anti-inflammatory drugs and gastroenteropathy: the second hundred years. Gastroenterology. 1997;112:1000–16.

    CAS  PubMed  Google Scholar 

  66. Toh BH, van Driel IR, Gleeson PA. Pernicious anemia. N Engl J Med. 1997;337:1441–8.

    CAS  PubMed  Google Scholar 

  67. Krasinskas AM, Abraham SC, Metz DC, Furth EE. Oxyntic mucosa pseudopolyps: a presentation of atrophic autoimmune gastritis. Am J Surg Pathol. 2003;27:236–41.

    PubMed  Google Scholar 

  68. Torbenson M, Abraham SC, Boitnott J, Yardley JH, Wu TT. Autoimmune gastritis: distinct histological and immunohistochemical findings before complete loss of oxyntic glands. Mod Pathol. 2002;15:102–9.

    PubMed  Google Scholar 

  69. Annibale B, Azzoni C, Corleto VD, di Giulio E, Caruana P, D’Ambra G, et al. Atrophic body gastritis patients with enterochromaffin-like cell dysplasia are at increased risk for the development of type I gastric carcinoid. Eur J Gastroenterol Hepatol. 2001;13:1449–56.

    CAS  PubMed  Google Scholar 

  70. Lahner E, Caruana P, D’Ambra G, Ferraro G, Di Giulio E, Delle Fave G, et al. First endoscopic-histologic follow-up in patients with body-predominant atrophic gastritis: when should it be done? Gastrointest Endosc. 2001;53:443–8.

    CAS  PubMed  Google Scholar 

  71. Rindi G, Bordi C, Rappel S, La Rosa S, Stolte M, Solcia E. Gastric carcinoids and neuroendocrine carcinomas: pathogenesis, pathology, and behavior. World J Surg. 1996;20:168–72.

    CAS  PubMed  Google Scholar 

  72. Lavilla P, Gil A, Rodriguez MC, Dupla ML, Pintado V, Fontan G. X-linked agammaglobulinemia and gastric adenocarcinoma. Cancer. 1993;72:1528–31.

    CAS  PubMed  Google Scholar 

  73. Casis B, Fernandez-Vazquez I, Barnardos E, Saiz A, Ballestin C, Morillas JD, et al. Autoimmune enteropathy in an adult with autoimmune multisystemic involvement. Scand J Gastroenterol. 2002;37:1012–6.

    CAS  PubMed  Google Scholar 

  74. Mitomi H, Tanabe S, Igarashi M, Katsumata T, Arai N, Kikuchi S, et al. Autoimmune enteropathy with severe atrophic gastritis and colitis in an adult: proposal of a generalized autoimmune disorder of the alimentary tract. Scand J Gastroenterol. 1998;33:716–20.

    CAS  PubMed  Google Scholar 

  75. Jevremovic D, Torbenson M, Murray JA, Burgart LJ, Abraham SC. Atrophic autoimmune pangastritis: a distinctive form of antral and fundic gastritis associated with systemic autoimmune disease. Am J Surg Pathol. 2006;30(11):1412–9.

    PubMed  Google Scholar 

  76. Washington K, Stenzel TT, Buckley RH, Gottfried MR. Gastrointestinal pathology in patients with common variable immunodeficiency and X-linked agammaglobulinemia. Am J Surg Pathol. 1996;20:1240–52.

    CAS  PubMed  Google Scholar 

  77. Wright CL, Riddell RH. Histology of the stomach and duodenum in Crohn’s disease. Am J Surg Pathol. 1998;22:383–90.

    CAS  PubMed  Google Scholar 

  78. Cary ER, Tremaine WJ, Banks PM, Nagorney DM. Isolated Crohn’s disease of the stomach. Mayo Clin Proc. 1989;64:776–9.

    CAS  PubMed  Google Scholar 

  79. Hirokawa M, Shimizu M, Terayama K, Tamai M, Takeda M, Iida M, et al. Bamboo-joint-like appearance of the stomach: a histopathological study. Apmis. 1999;107:951–6.

    CAS  PubMed  Google Scholar 

  80. Yokota K, Saito Y, Einami K, Ayabe T, Shibata Y, Tanabe H, et al. A bamboo joint-like appearance of the gastric body and cardia: possible association with Crohn’s disease. Gastrointest Endosc. 1997;46:268–72.

    CAS  PubMed  Google Scholar 

  81. Oberhuber G, Puspok A, Oesterreicher C, Novacek G, Zauner C, Burghuber M, et al. Focally enhanced gastritis: a frequent type of gastritis in patients with Crohn’s disease. Gastroenterology. 1997;112:698–706.

    CAS  PubMed  Google Scholar 

  82. Xin W, Greenson JK. The clinical significance of focally enhanced gastritis. Am J Surg Pathol. 2004;28:1347–51.

    PubMed  Google Scholar 

  83. Sharif F, McDermott M, Dillon M, Drumm B, Rowland M, Imrie C, et al. Focally enhanced gastritis in children with Crohn’s disease and ulcerative colitis. Am J Gastroenterol. 2002;97:1415–20.

    CAS  PubMed  Google Scholar 

  84. McHugh JB, Ruiz RE, Greenson JK. Significance of focally enhanced gastritis in the pediatric population. Mod Pathol. 2006;19:112A. (abstract 514).

    Google Scholar 

  85. Torrente F, Anthony A, Heuschkel RB, Thomson MA, Ashwood P, Murch SH. Focal-enhanced gastritis in regressive autism with features distinct from Crohn’s and Helicobacter pylori gastritis. Am J Gastroenterol. 2004;99:598–605.

    PubMed  Google Scholar 

  86. Paik S, Kim SH, Kim JH, Yang WI, Lee YC. Russell body gastritis associated with Helicobacter pylori infection: a case report. J Clin Pathol. 2006;59:1316–9.

    CAS  PubMed  Google Scholar 

  87. Ensari A, Savas B, Okcu Heper A, Kuzu I, Idilman R. An unusual presentation of Helicobacter pylori infection: so-called “Russell body gastritis”. Virchows Arch. 2005;446:463–6.

    PubMed  Google Scholar 

  88. Erbersdobler A, Petri S, Lock G. Russell body gastritis: an unusual, tumor-like lesion of the gastric mucosa. Arch Pathol Lab Med. 2004;128:915–7.

    PubMed  Google Scholar 

  89. Shinozaki A, Ushiku T, Fukayama M. Prominent Mott cell proliferation in Epstein–Barr virus-associated gastric carcinoma. Hum Pathol. 2009 [Epub ahead of print].

  90. Shapiro JL, Goldblum JR, Petras RE. A clinicopathologic study of 42 patients with granulomatous gastritis. Is there really an “idiopathic” granulomatous gastritis? Am J Surg Pathol. 1996;20:462–70.

    CAS  PubMed  Google Scholar 

  91. Ectors NL, Dixon MF, Geboes KJ, Rutgeerts PJ, Desmet VJ, Vantrappen GR. Granulomatous gastritis: a morphological and diagnostic approach. Histopathology. 1993;23:55–61.

    CAS  PubMed  Google Scholar 

  92. Genta RM. Granulomatous gastritis. In: Graham DY, editor. Gastritis. Philadelphia: Lippincott Williams & Wilkins; 1999.

    Google Scholar 

  93. Maeng L, Lee A, Choi K, Kang CS, Kim KM. Granulomatous gastritis: a clinicopathologic analysis of 18 biopsy cases. Am J Surg Pathol. 2004;28:941–5.

    PubMed  Google Scholar 

  94. Farman J, Ramirez G, Rybak B, Lebwohl O, Semrad C, Rotterdam H. Gastric sarcoidosis. Abdom Imaging. 1997;22:248–52.

    CAS  PubMed  Google Scholar 

  95. Fireman Z, Sternberg A, Yarchovsky Y, Abu-Much S, Coscas D, Topilsky M, et al. Multiple antral ulcers in gastric sarcoid. J Clin Gastroenterol. 1997;24:97–9.

    CAS  PubMed  Google Scholar 

  96. Fung WP, Foo KT, Lee YS. Gastric sarcoidosis presenting with haematemesis. Med J Aust. 1975;2:47–9.

    CAS  PubMed  Google Scholar 

  97. Ona FV. Gastric sarcoid: unusual cause of upper gastrointestinal hemorrhage. Am J Gastroenterol. 1981;75:286–8.

    CAS  PubMed  Google Scholar 

  98. Ferrucci JT Jr, Janower ML. Localized infiltrating lesions of the stomach. Semin Roentgenol. 1971;6:168–81.

    PubMed  Google Scholar 

  99. Bellan L, Semelka R, Warren CP. Sarcoidosis as a cause of linitis plastica. Can Assoc Radiol J. 1988;39:72–4.

    CAS  PubMed  Google Scholar 

  100. Fahimi HD, Deren JJ, Gottlieb LS, Zamcheck N. Isolated granulomatous gastritis: its relationship to disseminated sarcoidosis and regional enteritis. Gastroenterology. 1963;45:161–75.

    CAS  PubMed  Google Scholar 

  101. Berens DL, Montes M. Gastric sarcoidosis. N Y State J Med. 1975;75:1290–3.

    CAS  PubMed  Google Scholar 

  102. Croxon S, Chen K, Davidson AR. Sarcoidosis of the stomach. Digestion. 1987;38:193–6.

    CAS  PubMed  Google Scholar 

  103. Khan MH, Lam R, Tamoney HJ. Isolated granulomatous gastritis. Report of a case simulating gastric carcinoma. Am J Gastroenterol. 1979;71:90–4.

    CAS  PubMed  Google Scholar 

  104. Groisman GM, Rosh JR, Harpaz N. Langerhans cell histiocytosis of the stomach. A cause of granulomatous gastritis and gastric polyposis. Arch Pathol Lab Med. 1994;118:1232–5.

    CAS  PubMed  Google Scholar 

  105. Varma VA, Sessions JT, Kahn LB, Lipper S. Chronic granulomatous disease of childhood presenting as gastric outlet obstruction. Am J Surg Pathol. 1982;6:673–6.

    CAS  PubMed  Google Scholar 

  106. Ectors N, Geboes K, Wynants P, Desmet V. Granulomatous gastritis and Whipple’s disease. Am J Gastroenterol. 1992;87:509–13.

    CAS  PubMed  Google Scholar 

  107. Temmesfeld-Wollbrueck B, Heinrichs C, Szalay A, Seeger W. Granulomatous gastritis in Wegener’s disease: differentiation from Crohn’s disease supported by a positive test for antineutrophil antibodies. Gut. 1997;40:550–3.

    CAS  PubMed  Google Scholar 

  108. O’Donovan C, Murray J, Staunton H, Doyle JS, Leader M. Granulomatous gastritis: part of a vasculitic syndrome. Hum Pathol. 1991;22:1057–9.

    PubMed  Google Scholar 

  109. Bigotti G, Coli A, Magistrelli P, De Ninno M, Antonacci V, Crucitti A, et al. Gastric adenocarcinoma associated with granulomatous gastritis. Case report and review of the literature. Tumori. 2002;88:163–6.

    PubMed  Google Scholar 

  110. Uygur-Bayramicli O, Yavuzer D, Dolapcioglu C, Sensu S, Tuncer K. Granulomatous gastritis due to taeniasis. J Clin Gastroenterol. 1998;27:351–2.

    CAS  PubMed  Google Scholar 

  111. Wu TT, Hamilton SR. Lymphocytic gastritis: association with etiology and topology. Am J Surg Pathol. 1999;23:153–8.

    CAS  PubMed  Google Scholar 

  112. Haot J, Jouret-Maurin A, Delos M. Anatomo-clinical study of a series of chronic gastritis characterized by intraepithelial lymphocytic infiltration. Acta Endoscopica. 1986;16:69–74.

    Google Scholar 

  113. Haot J, Jouret A, Mainguet P. Lymphocytic gastritis. In: Graham DY, Genta RM, Dixon MF, editors. Gastritis. Philadelphia: Lippincott Williams & Wilkins; 1999.

    Google Scholar 

  114. Haot J, Bogomoletz WV, Jouret A, Mainguet P. Menetrier’s disease with lymphocytic gastritis: an unusual association with possible pathogenic implications. Hum Pathol. 1991;22:379–86.

    CAS  PubMed  Google Scholar 

  115. Wolber RA, Owen DA, Anderson FH, Freeman HJ. Lymphocytic gastritis and giant gastric folds associated with gastrointestinal protein loss. Mod Pathol. 1991;4:13–5.

    CAS  PubMed  Google Scholar 

  116. Haot J, Jouret A, Willette M, Gossuin A, Mainguet P. Lymphocytic gastritis––prospective study of its relationship with varioliform gastritis. Gut. 1990;31:282–5.

    CAS  PubMed  Google Scholar 

  117. Wolfsen HC, Carpenter HA, Talley NJ. Menetrier’s disease: a form of hypertrophic gastropathy or gastritis? Gastroenterology. 1993;104:1310–9.

    CAS  PubMed  Google Scholar 

  118. Oberhuber G, Bodingbauer M, Mosberger I, Stolte M, Vogelsang H. High proportion of granzyme B-positive (activated) intraepithelial and lamina propria lymphocytes in lymphocytic gastritis. Am J Surg Pathol. 1998;22:450–8.

    CAS  PubMed  Google Scholar 

  119. Kajino Y, Kushima R, Koyama S, Fujiyama Y, Okabe H. Collagenous gastritis in a young Japanese woman. Pathol Int. 2003;53:174–8.

    PubMed  Google Scholar 

  120. Vesoulis Z, Lozanski G, Ravichandran P, Esber E. Collagenous gastritis: a case report, morphologic evaluation, and review. Mod Pathol. 2000;13:591–6.

    CAS  PubMed  Google Scholar 

  121. Cote JF, Hankard GF, Faure C, Mougenot JF, Holvoet L, Cezard JP, et al. Collagenous gastritis revealed by severe anemia in a child. Hum Pathol. 1998;29:883–6.

    CAS  PubMed  Google Scholar 

  122. Leung ST, Chandan VS, Murray JA, Wu TT. Collagenous gastritis: histopathologic features and association with other gastrointestinal diseases. Am J Surg Pathol. 2009;33:788–98.

    PubMed  Google Scholar 

  123. Lagorce-Pages C, Fabiani B, Bouvier R, Scoazec JY, Durand L, Flejou JF. Collagenous gastritis: a report of six cases. Am J Surg Pathol. 2001;25:1174–9.

    CAS  PubMed  Google Scholar 

  124. Winslow JL, Trainer TD, Colletti RB. Collagenous gastritis: a long-term follow-up with the development of endocrine cell hyperplasia, intestinal metaplasia, and epithelial changes indeterminate for dysplasia. Am J Clin Pathol. 2001;116:753–8.

    CAS  PubMed  Google Scholar 

  125. Groisman GM, Meyers S, Harpaz N. Collagenous gastritis associated with lymphocytic colitis. J Clin Gastroenterol. 1996;22:134–7.

    CAS  PubMed  Google Scholar 

  126. Stolte M, Ritter M, Borchard F, Koch-Scherrer G. Collagenous gastroduodenitis on collagenous colitis. Endoscopy. 1990;22:186–7.

    CAS  PubMed  Google Scholar 

  127. Pulimood AB, Ramakrishna BS, Mathan MM. Collagenous gastritis and collagenous colitis: a report with sequential histological and ultrastructural findings. Gut. 1999;44:881–5.

    Article  CAS  PubMed  Google Scholar 

  128. Johnstone JM, Morson BC. Eosinophilic gastroenteritis. Histopathology. 1978;2:335–48.

    CAS  PubMed  Google Scholar 

  129. Talley NJ, Shorter RG, Phillips SF, Zinsmeister AR. Eosinophilic gastroenteritis: a clinicopathological study of patients with disease of the mucosa, muscle layer, and subserosal tissues. Gut. 1990;31:54–8.

    CAS  PubMed  Google Scholar 

  130. Goldman H, Proujansky R. Allergic proctitis and gastroenteritis in children. Clinical and mucosal biopsy features in 53 cases. Am J Surg Pathol. 1986;10:75–86.

    CAS  PubMed  Google Scholar 

  131. Rothenberg ME. Eosinophilic gastrointestinal disorders (EGID). J Allergy Clin Immunol. 2004;113:11–28. (quiz 29).

    CAS  PubMed  Google Scholar 

  132. Papadopoulos AA, Tzathas C, Polymeros D, Ladas SD. Symptomatic eosinophilic gastritis cured with Helicobacter pylori eradication. Gut. 2005;54:1822.

    CAS  PubMed  Google Scholar 

  133. Seve P, Stankovic K, Michalet V, Vial T, Scoazec JY, Broussolle C. Carbimazole induced eosinophilic granulomatous vasculitis localized to the stomach. J Intern Med. 2005;258:191–5.

    CAS  PubMed  Google Scholar 

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Acknowledgment

The authors wish to thank Hirohito Tsubouchi, M.D., Ph.D. and Toshio Sakiyama, M.D., Ph.D., Department of Digestive and Life-Style Related Diseases, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan, and Shinichirou Aozaki, M.D., Ph.D., Department of Internal Medicine, Saiseikai Sendai Hospital, Satsuma-sendai, Kagoshima, Japan, for contributing endoscopic pictures.

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Correspondence to Gregory Y. Lauwers.

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Lauwers, G.Y., Fujita, H., Nagata, K. et al. Pathology of non-Helicobacter pylori gastritis: extending the histopathologic horizons. J Gastroenterol 45, 131–145 (2010). https://doi.org/10.1007/s00535-009-0146-3

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  • DOI: https://doi.org/10.1007/s00535-009-0146-3

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