A case of nodular gastritis progression to autoimmune gastritis after 10 years of Helicobacter pylori eradication.

Autor: Sumi N; Division of Health Check-Up Center, Kawasaki Medical School Hospital, 577, Matsushima, Kurashiki, 701-0192, Japan. n.sumi@med.kawasaki-m.ac.jp., Haruma K; Department of General Internal Medicine 2, Kawasaki Medical School, Okayama, Japan., Inoue K; Junpukai Health Maintenance Center, Okayama, Japan., Hisamoto N; Junpukai Long Life Hospital, Okayama, Japan., Mabe K; Junpukai Health Maintenance Center-Kurashiki, Kurashiki, Japan., Sasai T; Junpukai Health Maintenance Center, Okayama, Japan., Ichiba T; Junpukai Health Maintenance Center, Okayama, Japan., Ayaki M; Division of Gastroenterology, HITO Hospital, Shikokuchuo, Japan., Manabe N; Division of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School, Okayama, Japan., Takao T; Division of Health Check-Up Center, Kawasaki Medical School Hospital, 577, Matsushima, Kurashiki, 701-0192, Japan.; Department of Health Care Medicine, Kawasaki Medical School, Kurashiki, Japan.
Jazyk: angličtina
Zdroj: Clinical journal of gastroenterology [Clin J Gastroenterol] 2024 Apr; Vol. 17 (2), pp. 216-221. Date of Electronic Publication: 2023 Dec 11.
DOI: 10.1007/s12328-023-01897-5
Abstrakt: A 61-year-old female patient underwent upper gastrointestinal endoscopy, which confirmed the presence of Helicobacter pylori (H. pylori)-positive nodular gastritis (NG). Routine upper gastrointestinal endoscopy after H. pylori eradication revealed atrophic changes of the corpus, having gradually progressed over the 10 years after successful eradication. Serological and biopsy specimen examination showed hypergastrinemia (1200 pg/mL), positive anti-parietal cell antibody (with a titer of more 160), and endocrine cell micronests after 11 years of H. pylori eradication. The patient was diagnosed with autoimmune gastritis (AIG) based on endoscopic, serological, and histological findings. This is the first report of AIG diagnosed in a patient with NG over a long period of time after H. pylori eradication.
(© 2023. Japanese Society of Gastroenterology.)
Databáze: MEDLINE
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