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2000, Volume 16, Number 3-4, Page(s) 116-120
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HISTOLOGICAL EVALUATION OF GASTRIC BIOPSIES ACCORDING TO SYDNEY SYSTEM
Hüseyin BÜYÜKBAYRAM, Ali Kemal UZUNLAR, Fahri YILMAZ, Mehmet YALDIZ, Mehmet DURSUN, Adem ARSLAN
Dicle Üniversitesi Tıp Fakültesi Patoloji Anabilim Dalı, Dicle Üniversitesi Tıp Fakültesi İç Hastalıkları Anabilim Dalı
Abstract
The aim of this study is to evaluate gastric biopsies from cases with gastric ulcer, duodenal ulcer, and non-ulcer dyspepsia according to Sydney system. Biopsy specimens from 450 patients were examined, 378 Helicobacter pylori (Hp) positive cases were classified, and graded histologically according to Sydney system. The overall Hp positivity was 84%. The colonisation rate were 88%, 84%, and 71% in patients with duodenal ulcer, non-ulcer dyspepsia, and gastric ulcer, respectively. Hp associated gastritis was the most common form of chronic gastritis. Hp density was greater in the antrum than the corpus. In Hp associated gastritis atrophy was seen in 58%, and intestinal metaplasia in 17% of the cases. We concluded in our study that the colonisation rate of Hp was higher in our region than developed countries, Hp associated gastritis was the most common form of chronic gastritis and intestinal metaplasia and atrophy were higher in the antrum.
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