Clinical Analysis On Endoscopic Diagnosis And Pathological Diagnosis Of Chronic Gastritis

Objective: To discuss the relationship between endoscopic features andhistological findings in chronic gastritis, in order to improve the en-doscopic diagnosisrate of chronic gastritis.Methods:This study randomly selected patients receiving endoscopy in ourhospital.The main clinical manifestations are non-specificdyspepsia, for exampleepigastric discomfort, fullness, dull, burning pain, loss of appetite, belching, acidreflux, nausea and other symptoms.Thesesymp-toms are generally no significantrhythm, but eating can be aggravated or mitigated.Some patients who withcontraindications for endoscopy, peptic ulcer, gastric cancer, upper gastrointestinalbleeding, cirrhosis and esophageal varices,rheumatic disease and subtotal gastrectomywere not selected in this study.This study selected200patients.The study used thePENTAX EG-2990i electronic endoscope produced in Japan.According to chronicgastritis endoscopic diagnosis standard:Non-atrophic gastritis:Erythema of the gastricmucosa was the point, sheets or strip, red and white with red, rough mucosa, visiblebleeding/plaque.Chronic atrophic gastritis:Endoscopic atrophic gastritis have twotypes, namely simple atrophic gastritis and atrophic gastritis with hyperplasia.Pureatrophic gastritis mainly for mucosa with red, white is given priority to, ZhouBi flatdisappear even, vascular revealed.Atrophic gastritis with hyperplasia mainly for mucosais particle or nodules.These patients conforming to this study did pathologybiopsy.We taked two mucosal tissues from gastric antrum big bend and gastric antrumamazon,it is3cm from the pylorus; Two of the gastric body taken from the greatercurvature at8cm distancethe the cardia (about the body of stomach greatercurvature of the middle) and stomach Angle from the near side4cm place of theamazon.To take the gastric mucosa tissue under the10%formaldehyde is fixed, the lineconventional paraffin section after HE dyeing, the pathological physicians to pathology diagnosis. Chronic gastritis gastroscope diagnosis and pathological findings consistencyanalysis of the κ is inspection, and the comparison between groups, the use of the rate isthe chi-square test.Results:1. Endoscopic diagnosis of atrophic gastritis (NAG) is135cases, diagnosis ofatrophic gastritis (CAG) is the65cases,95cases were male, female105cases, age to18-81(mean age,66.3years) years.2. Non-atrophic gastritis(NAG)of endoscopic diagnosis, atrophic gastritis (CAG)and pathological findings the accuracy of87.0%and83.0%..3. On histopathological the incidence of intestinal metaplasia of atrophic gastritisis much higher than non-atrophic gastritis (P <0.05).4.200cases of chronic gastritis patients were subject to helicobacter pylori (h.pylori) histological examination,it was no significant differences in pathologyprompted the non-atrophic gastritis H. pylori-positive rate and atrophic gastritis inH.pylori-positive rate (p>0.05).Conclusions:1.Non atrophic gastritis endoscopic mainly for the gastric mucosa erythema wasthe point, sheets or strip, red and white with red, rough mucosa, showing uplift and(or) erosion, visible bleeding/plaque.2.Endoscopic main performance of Atrophic gastritis were Mucosa red andwhite, white-dominated, vascular revealed, a particle or nodular mucous membrane.3.In good agreement with the results of endoscopic diagnosis and pathologicalexamination, but there were still differences between them.4.The diagnosis of chronic gastritis should be gastroscopy and thepathologicdiagnosis to combination on clinical,and confirmed in accordance with thepathological diagnosis of atrophic gastritis.5.It is to improve diagnosis rate of endoscopic diagnosis of chronic gastritisshould further regulate endoscopic operation.