Assuntos
Humanos , Masculino , Feminino , Úlcera Duodenal/patologia , Dispepsia/patologia , Helicobacter pylori , Infecções por Helicobacter/patologia , Úlcera Gástrica/patologia , Adulto , Idoso , Biópsia , Úlcera Duodenal/microbiologia , Duodeno/microbiologia , Duodeno/patologia , Dispepsia/microbiologia , Endoscopia do Sistema Digestório , Resumo em Inglês , Infecções por Helicobacter/microbiologia , Helicobacter pylori/isolamento & purificação , Pessoa de Meia-Idade , Antro Pilórico/microbiologia , Antro Pilórico/patologia , Úlcera Gástrica/microbiologiaAssuntos
Humanos , Masculino , Feminino , Úlcera Duodenal/patologia , Dispepsia/patologia , Helicobacter pylori , Infecções por Helicobacter/patologia , Úlcera Gástrica/patologia , Adulto , Idoso , Biópsia , Úlcera Duodenal/microbiologia , Duodeno/microbiologia , Duodeno/patologia , Dispepsia/microbiologia , Endoscopia do Sistema Digestório , Resumo em Inglês , Helicobacter pylori/isolamento & purificação , Infecções por Helicobacter/microbiologia , Pessoa de Meia-Idade , Antro Pilórico/microbiologia , Antro Pilórico/patologia , Úlcera Gástrica/microbiologiaRESUMO
A group of consecutive patients with ulcer dyspepsia were studied by endoscopy, antral and duodenal biopsy; by histologic determination of Helicobacter pylori (HP) and by silver staining (Warthin Starry technique). 68.31% were found to be infected. In those patients who showed chronic antritis (69.30% of the patients), HP was present in 92.85% of cases. In gastric and duodenal ulcer patients, similar rates were shown (76.47% and 76.92% respectively. In cases with normal histology findings HP was present in only 12.90% of cases. In the duodenum HP was scarce (7.92%) and there was always concomitant metaplasias. HP is strongly linked with mucosal lesions in our patients with ulcer dyspepsia. We wonder its responsibility in producing these lesions and about the need of performing specific treatment against HP in this patients.
Assuntos
Úlcera Duodenal/patologia , Dispepsia/patologia , Infecções por Helicobacter/patologia , Helicobacter pylori , Úlcera Gástrica/patologia , Adulto , Idoso , Biópsia , Úlcera Duodenal/microbiologia , Duodeno/microbiologia , Duodeno/patologia , Dispepsia/microbiologia , Endoscopia do Sistema Digestório , Feminino , Infecções por Helicobacter/microbiologia , Helicobacter pylori/isolamento & purificação , Humanos , Masculino , Pessoa de Meia-Idade , Antro Pilórico/microbiologia , Antro Pilórico/patologia , Úlcera Gástrica/microbiologiaRESUMO
A group of consecutive patients with ulcer dyspepsia were studied by endoscopy, antral and duodenal biopsy; by histologic determination of Helicobacter pylori (HP) and by silver staining (Warthin Starry technique). 68.31
were found to be infected. In those patients who showed chronic antritis (69.30
of the patients), HP was present in 92.85
of cases. In gastric and duodenal ulcer patients, similar rates were shown (76.47
and 76.92
respectively. In cases with normal histology findings HP was present in only 12.90
of cases. In the duodenum HP was scarce (7.92
) and there was always concomitant metaplasias. HP is strongly linked with mucosal lesions in our patients with ulcer dyspepsia. We wonder its responsibility in producing these lesions and about the need of performing specific treatment against HP in this patients.
RESUMO
A group of consecutive patients with ulcer dyspepsia were studied by endoscopy, antral and duodenal biopsy; by histologic determination of Helicobacter pylori (HP) and by silver staining (Warthin Starry technique). 68.31
were found to be infected. In those patients who showed chronic antritis (69.30
of the patients), HP was present in 92.85
of cases. In gastric and duodenal ulcer patients, similar rates were shown (76.47
and 76.92
respectively. In cases with normal histology findings HP was present in only 12.90
of cases. In the duodenum HP was scarce (7.92
) and there was always concomitant metaplasias. HP is strongly linked with mucosal lesions in our patients with ulcer dyspepsia. We wonder its responsibility in producing these lesions and about the need of performing specific treatment against HP in this patients.
RESUMO
The prospective investigation here presented tries to show the histologic changes produced in the endoscopic mucosal erythema zone of the gastric stump, which is the largest exposition and reactivity site to which the duodenal-biliary reflux damages. 56 clinically asynthomatic patients have been studied through directed biopsy. The observed results are: great prevailing of chronic gastritis and a high percentage of intestinal metaplasia which, in both cases are in close correlation with the age of the patient and not with his surgical age. There is not any relation either with age or intensity in the different degrees of dysplasia. We came to the conclusion that the erythema does not constitute by it self a histologic perfile different from the rest of the remaining gastric stump.
Assuntos
Gastrectomia/efeitos adversos , Mucosa Gástrica/patologia , Gastrite/etiologia , Adulto , Idoso , Humanos , Intestinos/patologia , Metaplasia/etiologia , Pessoa de Meia-IdadeRESUMO
La investigacion prospectiva aqui presentada intenta mostrar los cambios histologicos producidos en la zona de estomitis endoscopica del munon gastrico, que es lugar de mayor exposicion y reactividad a la exposicion del reflujo duodeno-biliar.Se estudian 56 pacientes asintomaticos clinicamente mediante biopsia dirigida.Como resultados se observa una gran prevalencia de gastritis cronica y un alto porcentaje de metaplasia intestinal, que en ambos casos tiene cerrada correlacion con la edad del paciente y no con su edad quirurgica. No se encontro relacion de edad ni intensidad en los diferentes casos de displasia. Se concluye que la estomitis no constituye por si sola un perfil histologico distinto del resto del munon remanente
Assuntos
Adulto , Pessoa de Meia-Idade , Humanos , Gastrectomia , Mucosa Gástrica , Estômago , EstomatiteRESUMO
The prospective investigation here presented tries to show the histologic changes produced in the endoscopic mucosal erythema zone of the gastric stump, which is the largest exposition and reactivity site to which the duodenal-biliary reflux damages. 56 clinically asynthomatic patients have been studied through directed biopsy. The observed results are: great prevailing of chronic gastritis and a high percentage of intestinal metaplasia which, in both cases are in close correlation with the age of the patient and not with his surgical age. There is not any relation either with age or intensity in the different degrees of dysplasia. We came to the conclusion that the erythema does not constitute by it self a histologic perfile different from the rest of the remaining gastric stump.
RESUMO
La investigacion prospectiva aqui presentada intenta mostrar los cambios histologicos producidos en la zona de estomitis endoscopica del munon gastrico, que es lugar de mayor exposicion y reactividad a la exposicion del reflujo duodeno-biliar.Se estudian 56 pacientes asintomaticos clinicamente mediante biopsia dirigida.Como resultados se observa una gran prevalencia de gastritis cronica y un alto porcentaje de metaplasia intestinal, que en ambos casos tiene cerrada correlacion con la edad del paciente y no con su edad quirurgica. No se encontro relacion de edad ni intensidad en los diferentes casos de displasia. Se concluye que la estomitis no constituye por si sola un perfil histologico distinto del resto del munon remanente
Assuntos
Adulto , Pessoa de Meia-Idade , Idoso , Humanos , Estômago , Estomatite , Gastrectomia , Mucosa GástricaRESUMO
El presente trabajo compredio el estudio de correlacion endoscopica con la histologica en 27 pacientes con el diagnostico endoscopico de bulbitis cronica inespecifica y 6 pacientes con endoscopia normal. Existe una excelente correlacion histologica-endoscopica en las BCI cuando se estudian muestras multiples de duodeno. Ocasionalmente resulta dificil diferenciar histologicamente entre un bulbo normal y una BCI superficial. El aumento del espacio intercelular determinado por microscopia eletronica, pareceria ser muy frecuente en este ultimo grado de bulbitis. La infiltracion celular de la lamina propia y la reduccion de las celulas caliciformes no son elementos confiables, unicos para el diagnostico. Deben existir alteraciones vellositarias y celulares concomitantes para formular el diagnostico correcto de la BCI por medio de la microscopica de luz
Assuntos
Duodenite , DuodenoscopiaRESUMO
El presente trabajo compredio el estudio de correlacion endoscopica con la histologica en 27 pacientes con el diagnostico endoscopico de bulbitis cronica inespecifica y 6 pacientes con endoscopia normal. Existe una excelente correlacion histologica-endoscopica en las BCI cuando se estudian muestras multiples de duodeno. Ocasionalmente resulta dificil diferenciar histologicamente entre un bulbo normal y una BCI superficial. El aumento del espacio intercelular determinado por microscopia eletronica, pareceria ser muy frecuente en este ultimo grado de bulbitis. La infiltracion celular de la lamina propia y la reduccion de las celulas caliciformes no son elementos confiables, unicos para el diagnostico. Deben existir alteraciones vellositarias y celulares concomitantes para formular el diagnostico correcto de la BCI por medio de la microscopica de luz