A case of collagenous gastritis resembling nodular gastritis in endoscopic appearance

被引：6

作者：

Tanabe J. ^{[1
]}

Yasumaru M. ^{[2
]}

Tsujimoto M. ^{[3
]}

Iijima H. ^{[4
]}

Hiyama S. ^{[4
]}

Nishio A. ^{[4
]}

Sasayama Y. ^{[5
]}

Kawai N. ^{[6
]}

Oshita M. ^{[7
]}

Abe T. ^{[8
]}

Kawano S. ^{[9
]}

机构：

[1] Teramoto Memorial Nishitenma Clinic, AS Building 3F, Kita-ku, Osaka 530-0043

[2] Sankei Health Insurance Society Clinic, Osaka

[3] Department of Pathology, Osaka Police Hospital, Osaka

[4] Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine, Suita

[5] Department of Gastroenterology, Teramoto Memorial Hospital, Kawachinagano

[6] Endoscopy Center, Osaka Police Hospital, Osaka

[7] Department of Internal Medicine, Osaka Police Hospital, Osaka

[8] Department of Gastroenterology, Takarazuka Municipal Hospital, Takarazuka

[9] Hankyu Corp. Clinic, Nishinomiya

来源：

Clinical Journal of Gastroenterology | 2013年 / 6卷 / 6期

关键词：

Collagen band; Collagenous gastritis; Nodular gastritis; Pseudopolyposis;

D O I：

10.1007/s12328-013-0431-9

中图分类号：

学科分类号：

摘要：

A 25-year-old Japanese female was referred to our clinic for the investigation of moderate iron-deficiency anemia and epigastralgia. Endoscopic examination showed diffuse mucosal nodules in the gastric body resembling nodular gastritis, but this pattern was not observed in the antrum. Histology of the gastric biopsies taken from the gastric body showed mild atrophic mucosa with chronic active inflammation. Some of the biopsy specimens showed deposition of patchy, band-like subepithelial collagen. Four years later, the patient showed no clinical symptoms and signs. A follow-up endoscopic examination showed similar findings, which mimicked pseudopolyposis or a cobblestone-like appearance. The biopsy specimens from the depressed mucosa between the nodules revealed a thickened subepithelial collagen band with no improvement, which led to a diagnosis of collagenous gastritis. Treatment with oral administration of proton-pump inhibitors and histamine-2-receptor antagonists had proved ineffective. To make a correct diagnosis of collagenous gastritis, we should determine the characteristic endoscopic findings and take biopsies from the depressed mucosa between the nodules. © Springer 2013.

引用

页码：442 / 446

页数：4

共 15 条

[1]

Colletti R.B., Trainer T.D., Collagenous gastritis, Gastroenterology, 97, 6, pp. 1552-1555, (1989)

[2]

Vesoulis Z., Lozanski G., Ravichandran P., Esber E., Collagenous gastritis: A case report, morphologic evaluation, and review, Mod Pathol, 13, pp. 591-596, (2000)

[3]

Lagorce-Pages C., Fabiani B., Bouvier R., Scoazec J.-Y., Durand L., Flejou J.-F., Collagenous gastritis: A report of six cases, American Journal of Surgical Pathology, 25, 9, pp. 1174-1179, (2001)

[4]

Jain R., Chetty R., Collagenous gastritis, Int J Surg Pathol, 18, pp. 534-536, (2010)

[5]

Suskind D., Wahbeh G., Murray K., Christie D., Kapur R.P., Collagenous gastritis, a new spectrum of disease in pediatric patients: Two case reports, Cases J, 2, (2009)

[6]

Hijaz N.M., Septer S.S., Degaetano J., Attard T.M., Clinical outcome of pediatric collagenous gastritis: Case series and review of literature, World J Gastroenterol, 19, pp. 1478-1484, (2013)

[7]

Ravikumara M., Ramani P., Spray C.H., Collagenous gastritis: A case report and review, European Journal of Pediatrics, 166, 8, pp. 769-773, (2007)

[8]

Cote J.F., Hankard G.F., Faure C., Mougenot J.F., Holvoet L., Cezard J.P., Et al., Collagenous gastritis revealed by severe anemia in a child, Hum Pathol, 29, pp. 883-886, (1998)

[9]

Jin X., Koike T., Chiba T., Kondo Y., Ara N., Uno K., Et al., Collagenous gastritis, Dig Endosc, 25, pp. 547-549, (2013)

[10]

Kamimura K., Kobayashi M., Narisawa R., Watanabe H., Sato Y., Honma T., Sekine A., Aoyagi Y., Collagenous gastritis: Endoscopic and pathologic evaluation of the nodularity of gastric mucosa, Digestive Diseases and Sciences, 52, 4, pp. 995-1000, (2007)

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