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Gastritis cystica profunda

G Franzin, P Novelli

    Histopathology
    |September 1, 1981
    PubMed
    Summary

    Gastritis cystica profunda, characterized by submucosal cystic glands, is proposed as a distinct entity. This condition may be linked to ischemia, inflammation, surgery, and gastric ulcers.

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    Area of Science:

    • Gastroenterology
    • Surgical Pathology

    Background:

    • Gastritis cystica polyposa, gastric adenomas, and erosions are common endoscopic findings.
    • Surgical resections from gastric cancer and gastroenterostomy patients provide valuable comparative material.

    Purpose of the Study:

    • To characterize the histological changes in various gastric conditions.
    • To propose a new term, "gastritis cystica profunda," based on observed submucosal cystic gland changes.
    • To investigate potential etiological factors and associations of this proposed condition.

    Main Methods:

    • Light microscopy examination of endoscopic biopsies and surgical resections.
    • Histological analysis of 14 gastritis cystica polyposa, 4 gastric adenomas, 25 erosions, 20 gastric cancer resections, and 18 gastroenterostomy resections.

    Main Results:

    • Consistent mucosal changes, termed "gastritis cystica superficialis," were observed.
    • Submucosal cystic gastric glands, similar to colitis cystica profunda, were found in most surgical specimens, some erosions, adenomas, and gastritis cystica polyposa cases.
    • The term "gastritis cystica profunda" is proposed for these findings.

    Conclusions:

    • Gastritis cystica profunda is a distinct histological entity characterized by submucosal cystic glands.
    • Ischemia, chronic inflammation, surgical effects, and suture material are implicated in its pathogenesis.
    • A correlation between gastritis cystica profunda and gastric ulcer is suggested.

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