8. Descriptive sheet of endoscopic findings
Items Findings
• 1. Surface Irregular
Rugal hypertrophy
• 2. Atrophy Border of atrophy
Visibility of vascular pattern
• 3. Intestinal metaplasia Elevated Type
Flat type
• 4. Redness measuring less than 2mm Spotted
• Redness Patchy
• Including linear redness on the folds Linear
• 5. Edema
• 6. Erosive changes Flat/Depressed
Elevated
• 7. Whitish exudate Presence/ Absence
• 8. Hemorrhage Active
• Blood pigment spot Old
• Concomitant lesions Absence [ ] Presence [ ]
Michiko Kaminishi et al., Endoscopic classification of chronic gastritis based
on apilot study by the research society for gastritis. Digestive Endoscopy (2002),14: 138–151
9. Endoscopic Characteristics of Inflammation
1. Oedema
2. Erythema Punctate
Confluent
3. Friability
4. Exudate
5. Flat erosion
6. Raised erosion
7. Rugal hyperplasia (hyperrugosity)
8. Rugal atrophy (hyporugosity)
9. Visibility of the vascular pattern
10. Intramural bleeding spots Punctate or petechial
Confluent or ecchymotic
11. Nodularity Fine
Coarse
SYDNEY SYSTEM:
ENDOSCOPIC DIVISION
18. 8. Phì ñaïi (Rugal hyperrugosity)
• Representative upper gastrointestinal endoscopy of enlarged fold
gastritis. (A) Before H. pylori eradication,
• (B) After 1 year of H. pylori eradication,
• (C) After 2 years of H. pylori eradication. (Arrows show enlarged fold.)
Yoko Murayama., is helicobacter pylori-induced enlarged fold gastritis a
high-risk factor for gastric carcinoma?. Digestive Endoscopy (2006),18: 98–104
20. Overview of Gastritis and Gastropathy
• Erosive and hemorrhagic
• Nonerosive
• Distinctive
Wilfred M. Weinstein, Gastritis and Gastropathy, Gastroenterologic Endoscopy; Vol 1 (2002)
21. Endoscopic findings and diagnostic criteria
Fundamental types Definition according to endoscopic findings
1. Superficial gastritis Findings including edema and redness
(spotted, patchy, linear) are observed
2. Hemorrhagic gastritis Hemorrhage is evidenced
3. Erosive gastritis Erosive changes including flat or
depressed types
4. Verrucous gastritis Erosive changes including elevated type
5. Atrophic gastritis Findings such as color change of mucosa,
visible vascular pattern and thinning are observed
Metaplastic gastritis Intestinal metaplasia is noted
Hyperplastic gastritis Remarkable irregularity of mucosa or rugal
hypertrophy of greater curvature in corpus
6. Special gastritis (Refer to the appendix)
Michiko Kaminishi et al., Endoscopic classification of chronic gastritis based
on apilot study by the research society for gastritis. Digestive Endoscopy(2002),14: 138–151
28. Eosinophilic gastritis
(a) Low-power microscopic view of a biopsy specimen from the gastric lesion
showing foveolar dilatation and denseinfiltration of inflammatory cells (x 20).
(b) High-power view of the specimen showing that most of the infiltrating cells are
eosinophils (x100).
30. Nodular gastritis
1. Laâm saøng: Thöôøng gaëp ôû nöõ, treû, hình aûnh noäi soi hang vò laø
toån thöông daïng noát (haït): daáu hieäu da ngoãng (Goose skin).
2. Coù Hp (+).
31. Nodular gastritis
Note also the intense inflammatory cell infiltration with large
and superficial lymphoid follicle formation in the lamina
propria of the mucosal specimens
