Role of upper GIT endoscopy and histopathology in diagnosis and follow up of chronic gastritis | ||
| Zagazig University Medical Journal | ||
| Article 7, Volume 29, Issue 4, July and August 2023, Pages 1018-1034 PDF (1.38 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2022.112837.2443 | ||
| Authors | ||
| mohamed Ibrahim Tawfeek Ibrahim* 1; Mohamed Abd El Baset Gumie2; Waleed Abd El Fattah Ismail3; Kamal Ahmed El Kashishy4 | ||
| 1Internal medicine department GOTHI Mataryea teaching hospital, Cairo, Egypt | ||
| 2Internal medicine department,Faculty of medicine, Zagazig University, Cairo, Egypt | ||
| 3Faculty of Human Medicine, Zagazig University, Zagazig, Egypt | ||
| 4Pathology Department - Faculty of Medicine - Zagazig University -Zagazig - sharkia - Egypt | ||
| Abstract | ||
| Background: chronic gastritis is one of the most prevalent pathological entities in gastroenterology and digestive endoscopy conflicting patients morbidity. This cohort study aims to study the role of upper gastro-intestinal tract (Upper GIT) endoscopy and histopathology in diagnosis, follow up and analyze the correlation between the endoscopic and histopathologic findings of chronic gastritis. Subjects AND Methods: In this cohort study, 85 patients of chronic gastritis were studied and followed up endoscopically and histopathologically within 3 to 6 months after treatment between January 2017 and January 2020. Six biopsies were taken from different areas of the stomach and comparing the endoscopic (modified Lanza score) with histopathologic findings according to Sydney System. Results: The longest duration of symptoms of chronic gastritis was (1 up to < 2 years), the most common cause was NSAIDS (65.9%) and H. Pylori induced gastritis by (50.6%). There was significant weak direct correlation between degree of gastritis (endoscope) and degree of gastritis (histopathology) before treatment (p- Value is 0.026) and after treatment (p- Value is 0.007) Also, there was highly significant (HS) improvement after treatment in degree and extent of chronic gastritis endoscopically and histopathologically as p- value | ||
| Keywords | ||
| Chronic gastritis; Upper GIT Endoscopy; Histopathology; follow up; NSAIDS | ||
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