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。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research 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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引用次数: 0

摘要

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

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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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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