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Gastritis and Gastric Ulcers

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Clinical Gastrointestinal Endoscopy
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One of the most common findings on upper endoscopy of the stomach is gastritis. However, there is no universally accepted classification of gastritis although several classification schemes of gastritis have been suggested. Gastritis has been classified in accordance with histologic features, time course (acute versus chronic), etiology, and proposed pathophysiology. Gastric ulcers can be caused by a variety of factors and have various shapes. Moreover, the appearance of gastric ulcers can change over time. The clinical course of gastric ulcers is more dynamic than that of gastritis and is sometimes associated with complications such as bleeding and perforation. The most important factor to consider when diagnosing a gastric ulcer is differential diagnosis of benign and malignant ulcers by careful endoscopic examination and forceps biopsy.

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  1. Dixon MF, Genta RM, Yardley JH, et al. Classification and grading of gastritis. The updated Sydney system. International workshop on the histopathology of gastritis, Houston 1994. Am J Surg Pathol. 1996;20:1161–81.

    Article  CAS  PubMed  Google Scholar 

  2. Stolte M, Meining A. The updated Sydney system: classification and grading of gastritis as the basis of diagnosis and treatment. Can J Gastroenterol. 2001;15:591–8.

    CAS  PubMed  Google Scholar 

  3. Vannella L, Lahner E, Annibale B. Risk for gastric neoplasias in patients with chronic atrophic gastritis: a critical reappraisal. World J Gastroenterol. 2012;18:1279–85.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Kimura K, Satoh K, Ido K, et al. Gastritis in the Japanese stomach. Scand J Gastroenterol Suppl. 1996;214:17–20; discussion 21–3.

    Article  CAS  PubMed  Google Scholar 

  5. Palmer ED. Note on silent sarcoidosis of the gastric mucosa. J Lab Clin Med. 1958;52:231–4.

    CAS  PubMed  Google Scholar 

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Correspondence to Sang Kil Lee .

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© 2014 Springer-Verlag Berlin Heidelberg

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Lee, S.K. (2014). Gastritis and Gastric Ulcers. In: Chun, H., Yang, SK., Choi, MG. (eds) Clinical Gastrointestinal Endoscopy. Springer, Berlin, Heidelberg.

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  • Print ISBN: 978-3-642-35625-4

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