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Experimental and Clinical Gastroenterology

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Peculiarities of the morphological picture of chronic gastritis in the conditions of the north

https://doi.org/10.31146/1682-8658-ecg-242-10-30-35

Abstract

For a comprehensive study of chronic gastritis’ endoscopic and morphological features with the development of precancerous changes of gastric mucosa CG Hp (+) and CG Hp (-) patients living permanently or temporarily in Yakutia were examined. The study was conducted based on a data from the Republican Hospital No. 1 - the National Center of Medicine of the Republic of Sakha (Yakutia). Some notable features of the morphologic pattern of chronic gastritis HP-negative and HP-positive are noted during the study. In patients with Helicobacter pylori identified during cytological examination, the degree of activity of the inflammatory process of the gastric mucosa during chronic gastritis was more pronounced and was accompanied by severe medical disorders in Yakutian conditions. Metaplastic changes in the gastric mucosa can be attributed to chronic gastritis of an infectious helicobacter nature, and these changes demonstrate profound violations of the processes of regeneration and differentiation of the gastric epithelium, metaplasia, mucosal atrophy, and dysplasia of the 1st and 2nd degrees. Patients with severe forms of chronic gastritis (with symptoms such as mucosal atrophy, intestinal metaplasia) have accounted for a larger percentage of patients from the studied group. Based on the obtained data, in patients with Helicobacter pylori established by cytological examination, the degree of activity of the inflammatory process of the gastric mucosa was more pronounced and was accompanied by severe disorders during CG in Yakutia.

About the Authors

N. V. Avvakumova
“North-Eastern Federal University”
Russian Federation


S. S. Sosina
“North-Eastern Federal University”
Russian Federation


K. S. Loskutova
Republican Hospital № 1 - M.E. Nikolaev National Center of Medicine
Russian Federation


M. P. Alekseeva
Republican Hospital № 1 - M.E. Nikolaev National Center of Medicine
Russian Federation


L. G. Chibyeva
“North-Eastern Federal University”
Russian Federation


L. V. Daibannyrova
“North-Eastern Federal University”
Russian Federation


A. D. Makarov
“North-Eastern Federal University”
Russian Federation


References

1. Ivashkin V.T., Maev I.V., Lapina T.L et al. Clinical Recommendations of Russian Gastroenterological Association and RENDO Endoscopic Society on Diagnosis and Treatment of Gastritis and Duodenitis.Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2021;31(4):70-99. (In Russ.) doi: 10.22416/1382-4376-2021-31-4-70-99.@@ Ивашкин В.Т., Маев И.В., Лапина Т.Л. и др. Клинические рекомендации Российской гастроэнтерологической ассоциации и ассоциации «Эндоскопическое общество РЭНДО» по диагностике и лечению гастрита, дуоденита. Российский журнал гастроэнтерологии, гепатологии, колопроктологии. 2021;31(4):70-99. doi: 10.22416/1382-4376-2021-31-4-70-99.

2. Graham D.Y., Rugge M., Genta R.M. Diagnosis: gastric intestinal metaplasia - what to do next? Curr Opin Gastroenterol. 2019;35(6):535-543.

3. Kishikawa H., Ojiro K. Previous Helicobacter pylori infection-induced atrophic gastritis: A distinct disease entity in an understudied population without a history of eradication. Helicobacter. 2020 Feb;25(1): e12669. doi: 10.1111/hel.12669.

4. Isajevs S., Liepniece-Karele I., Svirina D., Santare D., Kaidaks S., Sivins A., Vikmanis U., Leja M. Different Pattern of Inflammatory and Atrophic Changes in the Gastric Mucosa of the Greater and Lesser Curvature. J Gastrointestin Liver Dis. 2015 Dec;24(4):429-34. doi: 10.15403/jgld.2014.1121.244.ptt.

5. Alferova V.V., Nikiforova E.M. Morphological features of productive inflammation in the stomach in chronic gastritis associated with Helicobacter pylori in children. Volgograd Scientific Medical Journal. 2012. No. 1, pp. 67-70. (in Russ.)@@ Алферова В.В., Никифорова Е.М. Морфологические особенности продуктивного воспаления в желудке, при хроническом гастрите, ассоциированном с Helicobacter pylori у детей. Волгоградский научно-медицинский журнал. 2012. № 1. С. 67-70.

6. Boda T., Ito M., Yoshihara M., Kitamura Y., Matsuo T., Oka S., Tanaka S., Chayama K. Advanced method for evaluation of gastric cancer risk by serum markers: determination of true low-risk subjects for gastric neoplasm. Helicobacter. 2014 Feb;19(1):1-8. doi: 10.1111/hel.12101.

7. Ivashkin V.T., Mayev I.V., Lapina T.L. et al. Diagnostics and treatment of Helicobacter pylori infection in adults: Clinical guidelines of the Russian gastroenterological association.Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2018;28(1):55-70. (In Russ.) doi: 10.22416/1382-4376-2018-28-1-55-70.@@ Ивашкин В.Т., Маев И.В., Лапина Т.Л. и др. Клинические рекомендации Российской гастроэнтерологической ассоциации по диагностике и лечению инфекции Helicobacter pylori у взрослых. Российский журнал гастроэнтерологии, гепатологии, колопроктологии. 2018;28(1):55-70. doi: 10.22416/1382-4376-2018-28-1-55-70.

8. Correa P. The biological model of gastric carcinogenesis. IARC Sci Publ. 2004;(157):301-10. PMID: 15055303.

9. Osadchuk M.A., Sibryaev A.A., Kireeva N.V., Kvitnoy I.V. The role of gastric apud system in progression of chronic helicobacter gastritis. Clinical medicine. 2013;(5):42-45. (in Russ.)@@ Осадчук М.А., Сибряев А.А., Киреева Н.В., Квитной И.В. Роль АПУД-системы желудка и апоптоза в прогрессировании хронического хеликобактерного гастрита. Клиническая медицина.;(5):42-45.

10. Aruin L.I., Kononov A.V., Mozgovoy S.I. [New classification of chronic gastritis]. Current issues in pathological anatomy: Proc. of the III Congress.Russian Society of Pathologists. 2009, pp. 7-11. (in Russ.)@@ Аруин Л.И., Кононов А.В., Мозговой С.И. Новая классификация хронического гастрита. Актуальные вопросы патологической анатомии: матер. III съезда. Рос. общества патологоанатомов. 2009. С. 7-11.


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For citations:


Avvakumova N.V., Sosina S.S., Loskutova K.S., Alekseeva M.P., Chibyeva L.G., Daibannyrova L.V., Makarov A.D. Peculiarities of the morphological picture of chronic gastritis in the conditions of the north. Experimental and Clinical Gastroenterology. 2025;(10):30-35. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-242-10-30-35

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