Premium
Comprehensive Investigation of Areae Gastricae Pattern in Gastric Corpus using Magnifying Narrow Band Imaging Endoscopy in Patients with Chronic Atrophic Fundic Gastritis
Author(s) -
Kanzaki Hiromitsu,
Uedo Noriya,
Ishihara Ryu,
Nagai Kengo,
Matsui Fumi,
Ohta Takashi,
Hanafusa Masao,
Hanaoka Noboru,
Takeuchi Yoji,
Higashino Koji,
Iishi Hiroyasu,
Tomita Yasuhiko,
Tatsuta Masaharu,
Yamamoto Kazuhide
Publication year - 2012
Publication title -
helicobacter
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.206
H-Index - 79
eISSN - 1523-5378
pISSN - 1083-4389
DOI - 10.1111/j.1523-5378.2012.00938.x
Subject(s) - medicine , atrophic gastritis , intestinal metaplasia , chromoendoscopy , gastroenterology , atrophy , endoscopy , chronic gastritis , autofluorescence , pathology , gastric mucosa , foveolar cell , gastritis , stomach , cancer , colonoscopy , colorectal cancer , physics , quantum mechanics , fluorescence
Background: Barium radiographic studies have suggested the importance of evaluating areae gastricae pattern for the diagnosis of gastritis. Significance of endoscopic appearance of areae gastricae in the diagnosis of chronic atrophic fundic gastritis (CAFG) was investigated by image‐enhanced endoscopy. Materials and Methods: Endoscopic images of the corpus lesser curvature were studied in 50 patients with CAFG. Extent of CAFG was evaluated with autofluorescence imaging endoscopy. The areae gastricae pattern was evaluated with 0.2% indigo carmine chromoendoscopy. Micro‐mucosal structure was examined with magnifying chromoendoscopy and narrow band imaging. Results: In patients with small extent of CAFG, polygonal areae gastricae separated by a narrow intervening part of areae gastricae was observed, whereas in patients with wide extent of CAFG, the size of the areae gastricae decreased and the width of the intervening part of areae gastricae increased ( p < 0.001). Most areae gastricae showed a foveola‐type micro‐mucosal structure (82.7%), while intervening part of areae gastricae had a groove‐type structure (98.0%, p < 0.001). Groove‐type mucosa had a higher grade of atrophy ( p < 0.001) and intestinal metaplasia ( p < 0.001) compared with foveola type. Conclusions: As extent of CAFG widened, multifocal groove‐type mucosa that had high‐grade atrophy and intestinal metaplasia developed among areae gastricae and increased along the intervening part of areae gastricae. Our observations facilitate our understanding of the development and progression of CAFG.