Biliary gastritis. Pathomorphological features and differential diagnosis

R. A. Nasyrov, Yu. A. Fominykh, E. Yu. Kalinina, O. A. Kizimova, D. P. Kovtun, E. V. Shcherbakova, O. S. Minina, A. P. Zavitaeva
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Abstract

The review article discusses the modern pathogenetic links of biliary gastritis, namely the role of endothelial dysfunction, intestinal metaplasia in inflammation and the influence of Helicobacter pylori infection. The problem of combined damage to the mucous membrane of HP-associated and biliary gastritis remains relevant, since modern foreign studies have not come to a consensus, but most authors state increased carcinogenesis of the stomach with a positive HP status against the background of the course of pathological duodenogastric reflux. The article also presents original materials of histological examination of biliary, HP-associated, autoimmune and hyperplastic gastritis with similar morphological features, thereby demonstrating the difficulties of differential diagnosis.
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胆道胃炎。病理形态学特征及鉴别诊断
本文综述了胆道性胃炎的现代发病环节,即内皮功能障碍、肠化生在炎症中的作用以及幽门螺杆菌感染的影响。HP相关性和胆道性胃炎的粘膜联合损伤问题仍然存在,因为现代国外研究尚未达成共识,但大多数作者认为,在病理性十二指肠胃反流过程的背景下,HP阳性的胃的癌变增加。本文还介绍了形态学特征相似的胆道性、hp相关性、自身免疫性和增生性胃炎的组织学检查的原始资料,从而说明了鉴别诊断的困难。
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