RESUMO
In 148 patients (medium of 59, 1 years) we investigated the natural history of chronic gastritis within 1-7 years (average of 5.9 years). We performed two biopsies, but in 35 cases 3 or 4 biopsies. In most patients the histological picture was not changed. In superficial gastritis of the body we observed a regression more often than a progression. Regression of atrophic gastritis was see in body and antrum. The rate of regression was higher in cases with 3 or 4 biopsies and with a longer interval of observation. The frequency of regression was higher than awaited according to simultaneous biopsies (criticism of method). There was no difference of rate of regression in various age groups and in various diagnosis (gastric or duodenal ulcer). In gastritis Type B the regression was more seldom than in gastritis Type a or type AB. For spontaneous regression no cause was found.
Assuntos
Mucosa Gástrica/patologia , Gastrite/patologia , Biópsia , Doença Crônica , Úlcera Duodenal/patologia , Seguimentos , Gastrite Atrófica/patologia , Gastroscopia , Humanos , Pessoa de Meia-Idade , Antro Pilórico/patologia , Remissão Espontânea , Úlcera Gástrica/patologiaRESUMO
In 55 Patients with non-ulcer dyspepsia from Non-European countries gastric mucosa from antrum and corpus was examined (by taking at least two specimens, at least one of them includes muscularis mucosae). For comparison we took 87 patients from European countries (incl. GDR). With regard to the gastritis of antrum we observed no differences. On the other hand in corpus we found a normal mucosa more often among patients from Non-European countries, especially from Asia and Africa and in age group 40-49 years. Presumably in these patients chronic gastritis comes in older age.