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A case of collagenous gastritis resembling nodular gastritis in endoscopic appearance

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Abstract

A 25-year-old Japanese female was referred to our clinic for the investigation of moderate iron-deficiency anemia and epigastralgia. Endoscopic examination showed diffuse mucosal nodules in the gastric body resembling nodular gastritis, but this pattern was not observed in the antrum. Histology of the gastric biopsies taken from the gastric body showed mild atrophic mucosa with chronic active inflammation. Some of the biopsy specimens showed deposition of patchy, band-like subepithelial collagen. Four years later, the patient showed no clinical symptoms and signs. A follow-up endoscopic examination showed similar findings, which mimicked pseudopolyposis or a cobblestone-like appearance. The biopsy specimens from the depressed mucosa between the nodules revealed a thickened subepithelial collagen band with no improvement, which led to a diagnosis of collagenous gastritis. Treatment with oral administration of proton-pump inhibitors and histamine-2-receptor antagonists had proved ineffective. To make a correct diagnosis of collagenous gastritis, we should determine the characteristic endoscopic findings and take biopsies from the depressed mucosa between the nodules.

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Disclosures

Conflict of Interest: The authors declare that they have no conflict of interest.

Human/Animal Rights: All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008(5).

Informed Consent: Informed consent was obtained from all patients for being included in the study.

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Authors and Affiliations

  1. Teramoto Memorial Nishitenma Clinic, AS Building 3F, 3-13-20 Nishitenma, Kita-ku, Osaka, 530-0043, Japan

    Jun Tanabe

  2. Sankei Health Insurance Society Clinic, Osaka, Japan

    Masakazu Yasumaru

  3. Department of Pathology, Osaka Police Hospital, Osaka, Japan

    Masahiko Tsujimoto

  4. Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine, Suita, Japan

    Hideki Iijima, Satoshi Hiyama & Akira Nishio

  5. Department of Gastroenterology, Teramoto Memorial Hospital, Kawachinagano, Japan

    Yoshiaki Sasayama

  6. Endoscopy Center, Osaka Police Hospital, Osaka, Japan

    Naoki Kawai

  7. Department of Internal Medicine, Osaka Police Hospital, Osaka, Japan

    Masahide Oshita

  8. Department of Gastroenterology, Takarazuka Municipal Hospital, Takarazuka, Japan

    Takashi Abe

  9. Hankyu Corp. Clinic, Nishinomiya, Japan

    Sunao Kawano

Authors
  1. Jun Tanabe
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  2. Masakazu Yasumaru
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  3. Masahiko Tsujimoto
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  4. Hideki Iijima
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  5. Satoshi Hiyama
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  6. Akira Nishio
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  7. Yoshiaki Sasayama
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  8. Naoki Kawai
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  9. Masahide Oshita
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  10. Takashi Abe
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  11. Sunao Kawano
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Corresponding author

Correspondence to Jun Tanabe.

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Tanabe, J., Yasumaru, M., Tsujimoto, M. et al. A case of collagenous gastritis resembling nodular gastritis in endoscopic appearance. Clin J Gastroenterol 6, 442–446 (2013). https://doi.org/10.1007/s12328-013-0431-9

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  • DOI: https://doi.org/10.1007/s12328-013-0431-9

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