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Two Cases of Chronic Gastritis with non-Helicobacter pylori Helicobacter Infection
Satoka Shiratori1, Katsuhiro Mabe, Shinji Yoshii
1Department of Gastroenterology, SAPPORO MEDICAL CENTER NTT EC, Nippon Telegraph and Telephone East Corporation, Japan.
Abstract:
Two men, 48 and 54 years of age, were referred for medical checkups without any particular symptoms. Upper gastrointestinal endoscopy showed a normal gastric body, but white marbled appearance in the lesser curvature of the gastric angle and antrum. Biopsy specimens revealed relatively long and tightly coiled organisms. The two patients were diagnosed as having non-Helicobacter pylori helicobacter (NHPH) infection according to the findings of pathological and quantitative reverse transcription-polymerase chain reaction (qRT-PCR) analyses. After triple therapy (amoxicillin, clarithromycin, and rabeprazole), endoscopy showed an improvement of the white marbled lesions and biopsy specimens showed no NHPH. The white marbled appearance limited to the gastric angle and antrum may be a potential characteristic finding of NHPH-infected gastritis.
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