Histological classification of gastritis and helicobacter pylori infection

An agreement at last?

Michael F. Dixon, Robert M. Genta, John H. Yardley, Pelayo Correa

Research output: Contribution to journalArticle

66 Citations (Scopus)

Abstract

An international workshop has assessed and revised the Sydney System for the reporting of gastritis. Much of the original approach was retained including division into acute, chronic and special forms, and grading of chronic inflammation, polymorph activity, atrophy, intestinal metaplasia and H. pylori density into mild, moderate and marked categories. Visual analog scales have been introduced as a simple guide to grading. The four biopsy sites have been changed to optimize detection of H. pylori, and supplemented by a fifth biopsy from the incisura angularis, the site which is most likely to yield premalignant changes. Chronic gastritis is classified into non-atrophic and atrophic forms with the latter divided into autoimmune (diffuse corpus atrophy) and multifocal. Histological reporting of gastritis should take into account the topographical pattern (antral or corpus predominant), and the final diagnostic term should ideally combine morphology and etiology to maximize the clinical value of gastric biopsy diagnosis.

Original languageEnglish (US)
JournalHelicobacter
Volume2
Issue numberSUPPL. 1
StatePublished - 1997

Fingerprint

Helicobacter Infections
Gastritis
Helicobacter pylori
Biopsy
Atrophy
Metaplasia
Visual Analog Scale
Stomach
Inflammation
Education

ASJC Scopus subject areas

  • Microbiology
  • Gastroenterology

Cite this

Histological classification of gastritis and helicobacter pylori infection : An agreement at last? / Dixon, Michael F.; Genta, Robert M.; Yardley, John H.; Correa, Pelayo.

In: Helicobacter, Vol. 2, No. SUPPL. 1, 1997.

Research output: Contribution to journalArticle

Dixon, Michael F. ; Genta, Robert M. ; Yardley, John H. ; Correa, Pelayo. / Histological classification of gastritis and helicobacter pylori infection : An agreement at last?. In: Helicobacter. 1997 ; Vol. 2, No. SUPPL. 1.
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