Gastritis - Revision history

Mikael Häggström: /* Acute gastritis */ Threshold

2026-07-25T21:51:37Z

Acute gastritis: Threshold

← Older revision		Revision as of 17:51, 25 July 2026
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	:*Modest '''edema''' of lamina propria		:*Modest '''edema''' of lamina propria
	:*'''Vascular congestion'''		:*'''Vascular congestion'''
	:*Scattered '''neutrophils'''		:*Scattered '''neutrophils'''. Even a few unequivocal neutrophils in the lamina propria or epithelium constitute gastritis.
	:*Mucosal '''hemorrhage'''		:*Mucosal '''hemorrhage'''
	:*Intact epithelium		:*Intact epithelium

Mikael Häggström: /* Microscopy report */ sections

2026-07-17T03:39:14Z

Microscopy report: sections

← Older revision		Revision as of 23:39, 16 July 2026
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	\| {{Moderate-begin}}Stomach, biopsy:{{Moderate-end}}		\| {{Moderate-begin}}Stomach, biopsy:{{Moderate-end}}
	*{{Moderate-begin}}Gastric antral/oxyntic mucosa with{{Moderate-end}} mild chronic {{Moderate-begin}}inactive{{Moderate-end}} gastritis{{Comprehensive-begin}}, non-specific{{Comprehensive-end}}		*{{Moderate-begin}}Gastric antral/oxyntic mucosa with{{Moderate-end}} mild chronic {{Moderate-begin}}inactive{{Moderate-end}} gastritis{{Comprehensive-begin}}, non-specific{{Comprehensive-end}}
	*{{Moderate-begin}}Negative for ''Helicobacter pylori'' organisms on H&E ~~slide~~.{{Moderate-end}}		*{{Moderate-begin}}Negative for ''Helicobacter pylori'' organisms on H&E sections.{{Moderate-end}}
	\|}		\|}
	{{Bottom}}		{{Bottom}}

Mikael Häggström: /* Microscopy report */ in

2026-07-17T03:38:48Z

Microscopy report: in

← Older revision		Revision as of 23:38, 16 July 2026
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	*'''Mild and/or chronic gastritis''' and '''severity'''		*'''Mild and/or chronic gastritis''' and '''severity'''
	:*{{Moderate-begin}}If present, state if positive or negative for '''''Helicobacter pylori''''' organisms.{{Moderate-end}}		:*{{Moderate-begin}}If present, state if positive or negative for '''''Helicobacter pylori''''' organisms.{{Moderate-end}}
	Chronic gastritis without neutrophils is preferably also termed "~~non-active~~".		Chronic gastritis without neutrophils is preferably also termed "inactive".

	Example:		Example:
	{\|class=wikitable		{\|class=wikitable
	\| {{Moderate-begin}}Stomach, biopsy:{{Moderate-end}}		\| {{Moderate-begin}}Stomach, biopsy:{{Moderate-end}}
	*{{Moderate-begin}}Gastric antral/oxyntic mucosa with{{Moderate-end}} mild chronic {{Moderate-begin}}~~non-active~~{{Moderate-end}} gastritis{{Comprehensive-begin}}, non-specific{{Comprehensive-end}}		*{{Moderate-begin}}Gastric antral/oxyntic mucosa with{{Moderate-end}} mild chronic {{Moderate-begin}}inactive{{Moderate-end}} gastritis{{Comprehensive-begin}}, non-specific{{Comprehensive-end}}
	*{{Moderate-begin}}Negative for ''Helicobacter pylori'' organisms on H&E slide.{{Moderate-end}}		*{{Moderate-begin}}Negative for ''Helicobacter pylori'' organisms on H&E slide.{{Moderate-end}}
	\|}		\|}
	{{Bottom}}		{{Bottom}}

Mikael Häggström: /* Microscopy report */ Type

2023-11-24T17:10:11Z

Microscopy report: Type

← Older revision		Revision as of 13:10, 24 November 2023
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	{\|class=wikitable		{\|class=wikitable
	\| {{Moderate-begin}}Stomach, biopsy:{{Moderate-end}}		\| {{Moderate-begin}}Stomach, biopsy:{{Moderate-end}}
	*~~Mild~~ chronic {{Moderate-begin}}non-active{{Moderate-end}} gastritis{{Comprehensive-begin}}, non-specific{{Comprehensive-end}}		*{{Moderate-begin}}Gastric antral/oxyntic mucosa with{{Moderate-end}} mild chronic {{Moderate-begin}}non-active{{Moderate-end}} gastritis{{Comprehensive-begin}}, non-specific{{Comprehensive-end}}
	*{{Moderate-begin}}Negative for ''Helicobacter pylori'' organisms on H&E slide.{{Moderate-end}}		*{{Moderate-begin}}Negative for ''Helicobacter pylori'' organisms on H&E slide.{{Moderate-end}}
	\|}		\|}
	{{Bottom}}		{{Bottom}}

Mikael Häggström: /* Microscopy report */ List

2023-11-24T17:09:22Z

Microscopy report: List

← Older revision		Revision as of 13:09, 24 November 2023
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	Example:		Example:
	{\|class=wikitable		{\|class=wikitable
	\| {{Moderate-begin}}Stomach, biopsy:{{Moderate-end}}~~<br>~~Mild chronic {{Moderate-begin}}non-active{{Moderate-end}} gastritis{{Comprehensive-begin}}, non-specific{{Comprehensive-end}}. {{Moderate-begin}}Negative for ''Helicobacter pylori'' organisms on H&E slide.{{Moderate-end}}		\| {{Moderate-begin}}Stomach, biopsy:{{Moderate-end}}
			*Mild chronic {{Moderate-begin}}non-active{{Moderate-end}} gastritis{{Comprehensive-begin}}, non-specific{{Comprehensive-end}}
			*{{Moderate-begin}}Negative for ''Helicobacter pylori'' organisms on H&E slide.{{Moderate-end}}
	\|}		\|}
	{{Bottom}}		{{Bottom}}

Mikael Häggström: More

2022-12-15T16:42:10Z

← Older revision		Revision as of 12:42, 15 December 2022
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	Example:		Example:
	{\|class=wikitable		{\|class=wikitable
	\| ~~(Gastric~~, biopsy:) Mild chronic non-active gastritis, non-specific. Negative for ''Helicobacter pylori'' organisms on H&E slide.		\| {{Moderate-begin}}Stomach, biopsy:{{Moderate-end}}<br>Mild chronic {{Moderate-begin}}non-active{{Moderate-end}} gastritis{{Comprehensive-begin}}, non-specific{{Comprehensive-end}}. {{Moderate-begin}}Negative for ''Helicobacter pylori'' organisms on H&E slide.{{Moderate-end}}
	\|}		\|}
	{{Bottom}}		{{Bottom}}

Mikael Häggström: /* Chronic gastritis */ At least moderate

2022-11-07T12:57:43Z

Chronic gastritis: At least moderate

← Older revision		Revision as of 08:57, 7 November 2022
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	File:Histopathology of fundic mucosa with atrophy.png\|Extensive atrophy of oxyntic glands in fundus/corpus causes '''pseudo-pyloric metaplasia'''.<ref name=Carrasco/>		File:Histopathology of fundic mucosa with atrophy.png\|Extensive atrophy of oxyntic glands in fundus/corpus causes '''pseudo-pyloric metaplasia'''.<ref name=Carrasco/>
	</gallery>		</gallery>
	When gastritis ~~is present~~, especially if relatively superficial, also evaluate as a [[stomach biopsy for Helicobacter pylori\|stomach biopsy for '''Helicobacter pylori''']].		When there is at least {{Moderate-begin}}mild or{{Moderate-end}} moderate gastritis, especially if relatively superficial, also evaluate as a [[stomach biopsy for Helicobacter pylori\|stomach biopsy for '''Helicobacter pylori''']].

	===Acute gastritis===		===Acute gastritis===

Mikael Häggström: +url

2022-09-16T15:37:21Z

+url

← Older revision		Revision as of 11:37, 16 September 2022
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	===Chronic gastritis===		===Chronic gastritis===
	*'''Chronic gastritis'''<ref>{{cite web\|url=https://www.pathologyoutlines.com/topic/stomachchronicgastritis.html\|title=Stomach - Gastritis - Chronic gastritis\|author=Elliot Weisenberg\|website=PathologyOutlines}} Topic Completed: 1 August 2012. Minor changes: 31 August 2020</ref>		*'''Chronic gastritis'''<ref>{{cite web\|url=https://www.pathologyoutlines.com/topic/stomachchronicgastritis.html\|title=Stomach - Gastritis - Chronic gastritis\|author=Elliot Weisenberg\|website=PathologyOutlines}} Topic Completed: 1 August 2012. Minor changes: 31 August 2020</ref>
	:*Presence of '''plasma cells''', '''lymphocytes''', and occasionally lymphoid '''follicles'''. Scattered single plasma cells and lymphocytes is normal, and the threshold is subjective, but one definition of chronic gastritis is when seeing chronic inflammation at 4x magnification (as increased dots separating glands)<ref>{{cite web\|url=Gastritis: A Pattern Based Approach\|author=Lysandra Voltaggio, Johns Hopkins Department of Pathology\|website=Arizona Society of Pathologists\|date=2018-10-31}}</ref> Eosinophils and neutrophils may be present.		:*Presence of '''plasma cells''', '''lymphocytes''', and occasionally lymphoid '''follicles'''. Scattered single plasma cells and lymphocytes is normal, and the threshold is subjective, but one definition of chronic gastritis is when seeing chronic inflammation at 4x magnification (as increased dots separating glands)<ref>{{cite web\|url=http://www.azpath.org/uploads/2/6/3/8/2638612/voltaggio_-_gastritis_presentation.pdf\|title=Gastritis: A Pattern Based Approach\|author=Lysandra Voltaggio, Johns Hopkins Department of Pathology\|website=Arizona Society of Pathologists\|date=2018-10-31}}</ref> Eosinophils and neutrophils may be present.
	:*'''Reduced mucin''' in the cytoplasm		:*'''Reduced mucin''' in the cytoplasm
	:*'''Enlargement''' of nuclei and nucleoi		:*'''Enlargement''' of nuclei and nucleoi

Mikael Häggström at 19:40, 19 June 2022

2022-06-19T19:40:34Z

← Older revision		Revision as of 15:40, 19 June 2022
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	File:Updated Sydney System for visual classification of gastritis.png\|thumb\|340px\|Updated Sydney System for visual classification of gastritis.<ref name=Carrasco/>		File:Updated Sydney System for visual classification of gastritis.png\|thumb\|340px\|Updated Sydney System for visual classification of gastritis.<ref name=Carrasco/>
	File:Moderate superficial chronic gastritis.jpg\|'''Moderate''' gastritis.		File:Moderate superficial chronic gastritis.jpg\|'''Moderate''' gastritis.
	File:Histopathology of antral mucosa with atrophy.png\|In '''intestinal metaplasia''' (seen at bottom of this antral mucosa), also look for '''atrophy''' as pictured.<ref name=Carrasco/><ref group=~~notes~~>The combination of atrophy and gastritis (especially when deeper than submucosal) helps the clinician to potentially make a diagnosis of atrophic gastritis.</ref>		File:Histopathology of antral mucosa with atrophy.png\|In '''intestinal metaplasia''' (seen at bottom of this antral mucosa), also look for '''atrophy''' as pictured.<ref name=Carrasco/><ref group=note>The combination of atrophy and gastritis (especially when deeper than submucosal) helps the clinician to potentially make a diagnosis of atrophic gastritis.</ref>
	File:Histopathology of fundic mucosa with atrophy.png\|Extensive atrophy of oxyntic glands in fundus/corpus causes '''pseudo-pyloric metaplasia'''.<ref name=Carrasco/>		File:Histopathology of fundic mucosa with atrophy.png\|Extensive atrophy of oxyntic glands in fundus/corpus causes '''pseudo-pyloric metaplasia'''.<ref name=Carrasco/>
	</gallery>		</gallery>

Mikael Häggström: as

2022-06-19T03:55:17Z

← Older revision		Revision as of 23:55, 18 June 2022
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	}}		}}

	Inflammation of the [[stomach]]. If biopsy is at the esophagus, ~~see~~ '''[[gastroesophageal junction]]'''.		Inflammation of the [[stomach]]. If biopsy is at the esophagus, evaluate as '''[[gastroesophageal junction]]'''.
	{{Comprehensiveness}}		{{Comprehensiveness}}
	==Microscopy evaluation==		==Microscopy evaluation==

← Older revision		Revision as of 15:40, 19 June 2022
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	File:Updated Sydney System for visual classification of gastritis.png\|thumb\|340px\|Updated Sydney System for visual classification of gastritis.<ref name=Carrasco/>		File:Updated Sydney System for visual classification of gastritis.png\|thumb\|340px\|Updated Sydney System for visual classification of gastritis.<ref name=Carrasco/>
	File:Moderate superficial chronic gastritis.jpg\|'''Moderate''' gastritis.		File:Moderate superficial chronic gastritis.jpg\|'''Moderate''' gastritis.
	File:Histopathology of antral mucosa with atrophy.png\|In '''intestinal metaplasia''' (seen at bottom of this antral mucosa), also look for '''atrophy''' as pictured.<ref name=Carrasco/><ref group=~~notes~~>The combination of atrophy and gastritis (especially when deeper than submucosal) helps the clinician to potentially make a diagnosis of atrophic gastritis.</ref>		File:Histopathology of antral mucosa with atrophy.png\|In '''intestinal metaplasia''' (seen at bottom of this antral mucosa), also look for '''atrophy''' as pictured.<ref name=Carrasco/><ref group=note>The combination of atrophy and gastritis (especially when deeper than submucosal) helps the clinician to potentially make a diagnosis of atrophic gastritis.</ref>
	File:Histopathology of fundic mucosa with atrophy.png\|Extensive atrophy of oxyntic glands in fundus/corpus causes '''pseudo-pyloric metaplasia'''.<ref name=Carrasco/>		File:Histopathology of fundic mucosa with atrophy.png\|Extensive atrophy of oxyntic glands in fundus/corpus causes '''pseudo-pyloric metaplasia'''.<ref name=Carrasco/>
	</gallery>		</gallery>