Search results
Results from the WOW.Com Content Network
Reactive gastropathy, is characterized histologically by: [2] - Foveolar hyperplasia (black arrow), as a tortuosity in the "neck" region of the gastric glands. - Scant or minimal inflammatory cells (white arrow), i.e. lack of large numbers of neutrophils and plasma cells.. - Smooth muscle hyperplasia in the lamina propria (in black oval).
Chronic inflammation caused by H. pylori infection in the stomach and GERD in the esophagus are seen as the primary instigators of metaplasia and subsequent adenocarcinoma formation. Initially, the transformed epithelium resembles the small intestine lining; in the later stages it resembles the lining of the colon.
Reactive stains undergo an observable change due to a chemical process related to the function of the gastrointestinal tract. Congo red is used as a test for achlorhydria in the stomach, to test adequacy of vagotomy ( post adequate vagotomy, gastric acid secretion is abolished) and to detect presence of ectopic gastric tissue, as it changes ...
The usual appearance of portal hypertensive gastropathy on endoscopy is a mosaic-like or reticular pattern in the mucosa. Red spots may or may not be present. The pattern is usually seen throughout the stomach. [2] A similar pattern can be seen with a related condition called gastric antral vascular ectasia (GAVE), or watermelon stomach.
A biopsy of mucosa is taken from the antrum of the stomach, and is placed into a medium containing urea and an indicator such as phenol red. The urease produced by H. pylori hydrolyzes urea to ammonia, which raises the pH of the medium, and changes the color of the specimen from yellow (NEGATIVE) to red (POSITIVE).
Endoscopy with deep mucosal biopsy (and cytology) is required to establish the diagnosis and exclude other entities that may present similarly. A non-diagnostic biopsy may lead to a surgically obtained full-thickness biopsy to exclude malignancy. [3] CMV and helicobacter pylori serology should be a part of the evaluation.
The mucosal surface of an esophageal inlet patch is typically flat, [3] but may be slightly raised or slightly depressed. [ 2 ] The development of an esophageal inlet patch may occur due to the misplacement of endoderm from the stomach early in development.
The esophageal mucosa (stratified squamous epithelium) is seen on the right. The gastric mucosa (simple columnar epithelium) is seen on the left. The metaplastic epithelial is at the junction (center of image) and has an intensely eosinophilic (bright pink) cytoplasm. H&E stain. Specialty: Oncology