Korean J Gastrointest Endosc > Volume 25(6); 2002 > Article
Korean Journal of Gastrointestinal Endoscopy 2002;25(6): 431-437.
헬리코박터 유발성 위염의 확대내시경 소견과 조직학적 소견과의 상관관계
장재영·정준성·천갑진·류권호·이보영·정인섭·유창범· 김진오·조주영·이준성·이문성·심찬섭·김부성·진소영*
순천향대학교 의과대학 내과학교실, 소화기연구소, *임상병리학교실
Corelation between the Finding of Magnifying Endoscopy and Histologic Finding in the Helicobactor Pylori Induced Gastritis
Jae Young Jang, M.D., Jun Sung Jung, M.D., Gab Jin Cheon, M.D., Kwon Ho Ryu, M.D.,Bo Young Lee, M.D., In Seop Jung, M.D., Chang Beom Ryu, M.D., Jin Oh Kim, M.D.,Joo Young Cho, M.D., Joon Seong Lee, M.D., Moon Sung Lee, M.D.,Chan Sup Shim, M.D., Boo Sung K
Departments of Internal Medicine and *Pathology, Institute for Digestive Research, Soon Chun Hyang University College of Medicine, Seoul, Korea

This is the study to find diagnostic possibility of the H. pylori induced gastritis by using the magnifying endoscope.
The objectives were 144 pathologies from 48 patients with gastritis. The three sites of gastric mucosa have been magnified up to 80 times by using the magnifying endoscope. According to the patterns of the collecting venule, they have been classified into 3 patterns; regular (R), irregular (I) and disappearance (D) pattern and biopsy of each part has been performed. Each tissue has been evaluated into five kinds of morphological index (point: 0∼3) by using an updated Sydney system.
In 144 collecting venule, R, I and D-pattern was 19, 67, 58, respectively. Regarding the total score of morphologic points, the point of R-pattern was less than that of D-pattern (p<0.05). Regarding the infection of H. pyrori, the infection rate was 0%, 53.7%, and 60.3% in each pattern, and infection rate of R-pattern was less than other two patterns (p<0.05). Regarding the activity of neutrophile, R-pattern was less than those of I and D-pattern (p<0.05).
Observance of the collecting venule of the gastric mucosa by magnifying endoscopy is considered to be useful when estimating the inflammation degree and H. pylori infection. (Korean J Gastrointest Endosc 2002;25:431⁣437)
Key Words: Magnifying endoscopy, Helicobacter pylori induced gastritis
주요어: 확대내시경, 헬리코박터 파이로리 유발성 위염
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