Yonsei Med J.  1999 Feb;40(1):14-19. 10.3349/ymj.1999.40.1.14.

The comparison of histologic gastritis in patients with duodenal ulcer, chronic gastritis, gastric ulcer and gastric cancer

  • 1Department of Internal Medicine, College of Medicine, Ewha Womans University, Seoul, Korea. lozbel@nuri.net
  • 2Molecular Biology Section of Medical Research Center, College of Medicine, Ewha Womans University.
  • 3Department of Clinical Pathology, CHA General Hospital, College of Medicine, Pochon CHA University, Seoul, Korea.


This study was designed to investigate the differences of histologic gastritis according to the endoscopic diagnosis, and between H. pylori positive and negative gastritis, using the Sydney system. A total of 122 patients (42 duodenal ulcer, 31 chronic gastritis, 35 gastric ulcer and 14 gastric cancer) underwent endoscopy with biopsies from the antrum and body. Among the 122 patients, 104 (85%) were H. pylori positive. H. pylori density of the antrum was significantly higher in duodenal ulcer than in chronic gastritis, gastric ulcer, and gastric cancer. The positivity of intestinal metaplasia was lowest in duodenal ulcer and highest in gastric cancer. H. pylori density as well as grade of activity, inflammation and atrophy were significantly higher in the antrum than in the body in duodenal ulcer, while in chronic gastritis, gastric ulcer and gastric cancer there was no difference of H. pylori density, activity, inflammation and atrophy between the antrum and body. The grade of activity and chronic inflammation were significantly higher in H. pylori positive patients than in H. pylori negative patients in both the antrum and body. In conclusion, the gastritis of duodenal ulcer was mainly localized to the antrum, while the gastritis of chronic gastritis, gastric ulcer or gastric cancer was rather uniform in the antrum and body. H. pylori seemed to be related to the development of chronic inflammation and activity.


Gastritis; H. pylori; Sydney system

MeSH Terms

Aged, 80 and over
Chronic Disease
Comparative Study
Duodenal Ulcer/pathology*
Helicobacter pylori/isolation & purification
Middle Age
Stomach Neoplasms/pathology*
Stomach Ulcer/pathology*
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