Differences in Regression Patterns of Complete and Incomplete Intestinal Metaplasia at Ten Years after Helicobacter pylori Eradication.

IF 1.6 4区 生物学 Q4 CELL BIOLOGY Acta Histochemica Et Cytochemica Pub Date : 2021-12-24 Epub Date: 2021-11-18 DOI:10.1267/ahc.21-00069
Yasuhiro Wada, Masaaki Kodama, Kazuhiro Mizukami, Tadayoshi Okimoto, Takafumi Fuchino, Koshiro Tsutsumi, Masahide Fukuda, Yuka Hirashita, Kensuke Fukuda, Kazuhisa Okamoto, Ryo Ogawa, Ryoji Kushima, Kazunari Murakami
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Abstract

This study was conducted to reveal the reversibility of subtype of intestinal metaplasia (IM) and Paneth cells after H. pylori eradication (HPE). Among 75 patients, we retrospectively examined the proportions of patients with complete type of IM (CIM), incomplete type of IM (IIM) and Paneth cells in their biopsy specimens obtained from the greater curvature of the antrum (A2) and the greater curvature of the middle corpus (B2) before and during a follow-up period of 10 years after HPE. Immunohistochemistry was used to determine IM type. Compared to before HPE, the proportion of patients with CIM did not decrease significantly during the 10-year follow-up after HPE both in A2 (32% vs. 21.3%, P = 0.13) and in B2 (6.7% vs. 2.7%, P = 0.60). IIM rates in A2 was significantly lower during this time (26.7% vs. 10.7%, P = 0.04), whereas no patients showed IIM in B2 before HPE. The proportion of patients with Paneth cells decreased significantly in A2 after 3, 8, and 9 years of HPE and in B2 after 4, 6 and 9 years of HPE (P < 0.05 for all). Thus, IIM and Paneth cells regressed during a period of 10 years after HPE.

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根除幽门螺旋杆菌十年后完全性和不完全性肠化生的回归模式差异。
本研究旨在揭示根除幽门螺杆菌(HPE)后肠化生(IM)亚型和Paneth细胞的可逆性。在 75 例患者中,我们回顾性研究了在 HPE 前和 HPE 后 10 年随访期间,从胃窦大弯(A2)和胃窦中部大弯(B2)获得的活检标本中出现完全型 IM(CIM)、不完全型 IM(IIM)和 Paneth 细胞的患者比例。免疫组化用于确定 IM 类型。与 HPE 前相比,在 HPE 后的 10 年随访期间,A2(32% vs. 21.3%,P = 0.13)和 B2(6.7% vs. 2.7%,P = 0.60)的 CIM 患者比例没有明显下降。在此期间,A2的IIM率明显降低(26.7% vs. 10.7%,P = 0.04),而在HPE之前,B2中没有患者出现IIM。在 HPE 3、8 和 9 年后,A2 中出现 Paneth 细胞的患者比例明显降低,而在 HPE 4、6 和 9 年后,B2 中出现 Paneth 细胞的患者比例明显降低(P < 0.05)。因此,在 HPE 后的 10 年中,IIM 和 Paneth 细胞均有所减少。
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来源期刊
Acta Histochemica Et Cytochemica
Acta Histochemica Et Cytochemica 生物-细胞生物学
CiteScore
3.50
自引率
8.30%
发文量
17
审稿时长
>12 weeks
期刊介绍: Acta Histochemica et Cytochemica is the official online journal of the Japan Society of Histochemistry and Cytochemistry. It is intended primarily for rapid publication of concise, original articles in the fields of histochemistry and cytochemistry. Manuscripts oriented towards methodological subjects that contain significant technical advances in these fields are also welcome. Manuscripts in English are accepted from investigators in any country, whether or not they are members of the Japan Society of Histochemistry and Cytochemistry. Manuscripts should be original work that has not been previously published and is not being considered for publication elsewhere, with the exception of abstracts. Manuscripts with essentially the same content as a paper that has been published or accepted, or is under consideration for publication, will not be considered. All submitted papers will be peer-reviewed by at least two referees selected by an appropriate Associate Editor. Acceptance is based on scientific significance, originality, and clarity. When required, a revised manuscript should be submitted within 3 months, otherwise it will be considered to be a new submission. The Editor-in-Chief will make all final decisions regarding acceptance.
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