Histopathologic Diagnosis of Atrophic Gastritis and Intestinal Metaplasia

Atrophic gastritis and intestinal metaplasia are well-known to be reliable indicators of gastric cancer risk. They are clinically important in deciding whether to recommend endoscopic surveillance. Herein I review the histopathologic diagnosis of atrophic gastritis and IM. Gastric atrophy is divided...

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Main Author: Do Youn Park
Format: Article
Language:English
Published: Yong Chan Lee 2020-06-01
Series:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
Subjects:
Online Access:http://www.helicojournal.org/upload/pdf/kjhugr-2020-0011.pdf
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author Do Youn Park
author_facet Do Youn Park
author_sort Do Youn Park
collection DOAJ
description Atrophic gastritis and intestinal metaplasia are well-known to be reliable indicators of gastric cancer risk. They are clinically important in deciding whether to recommend endoscopic surveillance. Herein I review the histopathologic diagnosis of atrophic gastritis and IM. Gastric atrophy is divided into metaplastic atrophy and non-metaplastic atrophy. IM is categorized as complete (type I) and incomplete (type II, III). Systematic interpretation of gastric atrophy and IM using the updated Sydney system or operative link on gastritis assessment is recommended. Furthermore, I suggest using the consensus definition of gastric atrophy and incomplete IM in the gastric biopsy pathology report to support the surveillance of high-risk gastric cancer group.
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spelling doaj.art-fbebc3f73a814c7da26ffcb38d9da5af2022-12-21T18:58:41ZengYong Chan LeeThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312020-06-012029610010.7704/kjhugr.2020.0011624Histopathologic Diagnosis of Atrophic Gastritis and Intestinal MetaplasiaDo Youn ParkAtrophic gastritis and intestinal metaplasia are well-known to be reliable indicators of gastric cancer risk. They are clinically important in deciding whether to recommend endoscopic surveillance. Herein I review the histopathologic diagnosis of atrophic gastritis and IM. Gastric atrophy is divided into metaplastic atrophy and non-metaplastic atrophy. IM is categorized as complete (type I) and incomplete (type II, III). Systematic interpretation of gastric atrophy and IM using the updated Sydney system or operative link on gastritis assessment is recommended. Furthermore, I suggest using the consensus definition of gastric atrophy and incomplete IM in the gastric biopsy pathology report to support the surveillance of high-risk gastric cancer group.http://www.helicojournal.org/upload/pdf/kjhugr-2020-0011.pdfatrophydiagnosismetaplasiapathologystomach
spellingShingle Do Youn Park
Histopathologic Diagnosis of Atrophic Gastritis and Intestinal Metaplasia
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
atrophy
diagnosis
metaplasia
pathology
stomach
title Histopathologic Diagnosis of Atrophic Gastritis and Intestinal Metaplasia
title_full Histopathologic Diagnosis of Atrophic Gastritis and Intestinal Metaplasia
title_fullStr Histopathologic Diagnosis of Atrophic Gastritis and Intestinal Metaplasia
title_full_unstemmed Histopathologic Diagnosis of Atrophic Gastritis and Intestinal Metaplasia
title_short Histopathologic Diagnosis of Atrophic Gastritis and Intestinal Metaplasia
title_sort histopathologic diagnosis of atrophic gastritis and intestinal metaplasia
topic atrophy
diagnosis
metaplasia
pathology
stomach
url http://www.helicojournal.org/upload/pdf/kjhugr-2020-0011.pdf
work_keys_str_mv AT doyounpark histopathologicdiagnosisofatrophicgastritisandintestinalmetaplasia