Endoscopy 9 (1977) 74-78
0 Georg Thieme Verlag, Stuttgart
Chronic Erosive (Verrucous) Gastritis A Study of 108 Patients
P. H. R. Green, D. I. Fevre, P. J. Barrett, J. H. Hunt, P. E. Gillespie, G. S. Nagy
Summary
Chronic erosive gastritis (C.E.G.) is a gastric mucosal lesion with characteristic radiological and endoscopic appearances. Pyloric gland hyperplasia is seen on histological examination of biopsy specimens. C.E.G. is uncommonly reported in the English literature. In reviewing 3,800 upper gastro-intestinal endoscopies from 1971-1976,
108 patients were diagnosed as having typical features of chronic erosive gastritis, an incidence of 2.80/o. There was a significant association with
duodenal ulceration and an overall male predominance. The lesion can also co-exist with gastric ulceration and has been observed as an incidental finding in patients examined urgently for upper gastro-intestinal bleeding. In this context C.E.G. should be distinguished from acute mucosal erosions. Symptoms may relate to the accompanying peptic ulceration, although dyspepsia epigastric pain, fullness and nausea may
Chronisch erosive (verruköse) Gastritis eine Studie bei 108 Patienten Bei der chronischen erosiven Gastritis handelt es sich um eine Magenschleimhautläsion mit charak-
teristischem röntgenologischen und endoskopischen Befund. Histologisch findet sich in Biopsiepartikeln eine Hyperplasie der Pylorusdrüsen. In
der englischen Literatur wird auf die chronischen Erosionen nur selten eingegangen. Bei der Durchsicht von 3800 Endoskopiebefunden der Jahre 1971-1976 fanden sich 108 Patienten mit dem typischen Befund einer chronischen erosiven
Gastritis, was einer Häufigkeit von 2,8°/o entspricht. Auffallend haufig war eine Assoziation mit einem Ulcus duodeni, das mannliche Geschlecht überwog. Die Veranderungen können auch mit Magenulzera vergesellschaftet sein und finden sich ferner als Zufallsbefund bei Patienten im Rahmen einer Notfallendoskopie. Chronische
Erosionen sollten von akuten Schleimhauterosionen unterschieden werden. Die Symptome ge-
possibly occur with C.E.G. alone.
hen zum einen auf die begleitenden peptischen Key-Words: Gastric erosion, chronic erosive gastritis, gastric bleeding, peptic ulcer.
Ulzera zurück, doch finden sich auch dyspeptische Symptome, epigastrischer Schmerz, Völlegefühl
und Übelkeit bei Patienten, bei denen lediglich chronische Erosionen nachweisbar sind.
endoscopy were the presence of upper
Introduction is a
gastro-intestinal symptoms, or hemorrhage.
lesion of the gastric mucosa characterised by
All patients had a barium study prior to
mucosal elevation with or without central
endoscopy, except those examined urgently for bleeding within the first 24 hours of ad-
Chronic erosive gastritis (C.E.G.)
depression or erosion. Synonyms are "Verrucous gastritis" (1), "Complete erosions" (2), and "Varioliform erosions" (3). The findings in a group of 108 patients with this lesion are presented. Patients and Methods
3.800 consecutive upper gastro-intestinal endoscopic examinations were revied for a 5 year period to 1976. The indication for
mission. Radiological examination in the latter group was performed during the subsequent week. Olympus instruments were used. Not all lesions considered to be C.E.G. were biopsed. Results 108 patients demonstrated the typical endoscopic features of C.E.G. an incidence
Downloaded by: University of British Columbia. Copyrighted material.
Gastro-Enterology Department, Royal North Shore Hospital of Sydney, Australia
Chronic Erosive (Verrucous) Gastritis
75
of 2.8010. Age distribution is shown in Fig. 1.
reported as having chronic erosive gastritis. In 69 patients C.E.G. occurred alone. In the remaining 39 patients, the associated lesions were gastric ulceration in 11, including 5 patients with acute mucosal ulceration; duodenal ulceration in 23; gastric malignancy in 4 (3 carcinoma and 1 lymphoma); and oesophagitis in one patient. In the total series of patients examined (3,800), there were 893
35
30 5
20 15
10
with gastric ulceration and 605 with duodenal ulcers. C.E.G. thus co-existed in 1.2°/o gastric ulcer patients and 3.80/o of those with
duodenal ulceration. The latter is statistically significant (p
0 Georg Thieme Verlag, Stuttgart
Chronic Erosive (Verrucous) Gastritis A Study of 108 Patients
P. H. R. Green, D. I. Fevre, P. J. Barrett, J. H. Hunt, P. E. Gillespie, G. S. Nagy
Summary
Chronic erosive gastritis (C.E.G.) is a gastric mucosal lesion with characteristic radiological and endoscopic appearances. Pyloric gland hyperplasia is seen on histological examination of biopsy specimens. C.E.G. is uncommonly reported in the English literature. In reviewing 3,800 upper gastro-intestinal endoscopies from 1971-1976,
108 patients were diagnosed as having typical features of chronic erosive gastritis, an incidence of 2.80/o. There was a significant association with
duodenal ulceration and an overall male predominance. The lesion can also co-exist with gastric ulceration and has been observed as an incidental finding in patients examined urgently for upper gastro-intestinal bleeding. In this context C.E.G. should be distinguished from acute mucosal erosions. Symptoms may relate to the accompanying peptic ulceration, although dyspepsia epigastric pain, fullness and nausea may
Chronisch erosive (verruköse) Gastritis eine Studie bei 108 Patienten Bei der chronischen erosiven Gastritis handelt es sich um eine Magenschleimhautläsion mit charak-
teristischem röntgenologischen und endoskopischen Befund. Histologisch findet sich in Biopsiepartikeln eine Hyperplasie der Pylorusdrüsen. In
der englischen Literatur wird auf die chronischen Erosionen nur selten eingegangen. Bei der Durchsicht von 3800 Endoskopiebefunden der Jahre 1971-1976 fanden sich 108 Patienten mit dem typischen Befund einer chronischen erosiven
Gastritis, was einer Häufigkeit von 2,8°/o entspricht. Auffallend haufig war eine Assoziation mit einem Ulcus duodeni, das mannliche Geschlecht überwog. Die Veranderungen können auch mit Magenulzera vergesellschaftet sein und finden sich ferner als Zufallsbefund bei Patienten im Rahmen einer Notfallendoskopie. Chronische
Erosionen sollten von akuten Schleimhauterosionen unterschieden werden. Die Symptome ge-
possibly occur with C.E.G. alone.
hen zum einen auf die begleitenden peptischen Key-Words: Gastric erosion, chronic erosive gastritis, gastric bleeding, peptic ulcer.
Ulzera zurück, doch finden sich auch dyspeptische Symptome, epigastrischer Schmerz, Völlegefühl
und Übelkeit bei Patienten, bei denen lediglich chronische Erosionen nachweisbar sind.
endoscopy were the presence of upper
Introduction is a
gastro-intestinal symptoms, or hemorrhage.
lesion of the gastric mucosa characterised by
All patients had a barium study prior to
mucosal elevation with or without central
endoscopy, except those examined urgently for bleeding within the first 24 hours of ad-
Chronic erosive gastritis (C.E.G.)
depression or erosion. Synonyms are "Verrucous gastritis" (1), "Complete erosions" (2), and "Varioliform erosions" (3). The findings in a group of 108 patients with this lesion are presented. Patients and Methods
3.800 consecutive upper gastro-intestinal endoscopic examinations were revied for a 5 year period to 1976. The indication for
mission. Radiological examination in the latter group was performed during the subsequent week. Olympus instruments were used. Not all lesions considered to be C.E.G. were biopsed. Results 108 patients demonstrated the typical endoscopic features of C.E.G. an incidence
Downloaded by: University of British Columbia. Copyrighted material.
Gastro-Enterology Department, Royal North Shore Hospital of Sydney, Australia
Chronic Erosive (Verrucous) Gastritis
75
of 2.8010. Age distribution is shown in Fig. 1.
reported as having chronic erosive gastritis. In 69 patients C.E.G. occurred alone. In the remaining 39 patients, the associated lesions were gastric ulceration in 11, including 5 patients with acute mucosal ulceration; duodenal ulceration in 23; gastric malignancy in 4 (3 carcinoma and 1 lymphoma); and oesophagitis in one patient. In the total series of patients examined (3,800), there were 893
35
30 5
20 15
10
with gastric ulceration and 605 with duodenal ulcers. C.E.G. thus co-existed in 1.2°/o gastric ulcer patients and 3.80/o of those with
duodenal ulceration. The latter is statistically significant (p
