Video Experimental Relacionado
Updated: Sep 10, 2025
03:05
Author Spotlight: Advancing Early Detection and Treatment of Gastrointestinal Tumors
Published on: February 16, 2024
1.2K
Lesiones parecidas a barrancos en la mucosa gástrica: estudio clínico patológico de un nuevo hallazgo endoscópico
Aya Sunago1, Takahisa Murao1, Ken Haruma2
1Health Care Medicine, Kawasaki Medical School General Medical Center, Okayama, Japan.
Endoscopy international open
|August 27, 2025
Resumen
Las lesiones parecidas a Barnacle son un nuevo hallazgo endoscópico después de la erradicación de Helicobacter pylori. Estas lesiones son histopatológicamente consistentes con la metaplasia intestinal, lo que indica un estado post-infeccioso.
Área de la Ciencia:
- Gastroenterología
- La endoscopia
- Patología
Sus antecedentes:
- El enrojecimiento similar al mapa es un hallazgo gástrico conocido después de la erradicación de Helicobacter pylori.
- Recientemente se han identificado lesiones gástricas similares a las de los barnacles.
- Estas lesiones aparecen con mayor frecuencia después de la infección por H. pylori.
Objetivo del estudio:
- Investigar las características clínicas patológicas de las lesiones gástricas parecidas a los percebes.
- Para determinar la asociación de estas lesiones con el estado de infección por H. pylori.
- Para entender la naturaleza histopatológica de las lesiones similares a los percebes.
Principales métodos:
- Análisis de las características clínicas en 436 pacientes.
- Examen histopatológico de 65 biopsias de lesiones similares a barnacles y 17 de la mucosa circundante.
- La inclusión de 413 pacientes en el análisis final.
Principales resultados:
- En el 16,0% de los pacientes (66/413) se encontraron lesiones parecidas a barnacos.
- Las lesiones fueron más comunes alrededor del ángulo gástrico y asociadas con atrofia fundica leve.
- La histopatología reveló metaplasia intestinal en el 83,1% de las biopsias de lesiones similares a barnacles.
Conclusiones:
- Las lesiones parecidas a Barnacles son un hallazgo endoscópico característico en la mucosa gástrica después de la infección por H. pylori.
- Estas lesiones son histopatológicamente consistentes con la metaplasia intestinal.
- Los hallazgos sugieren un vínculo entre las lesiones similares a los percebes y las secuelas de la infección por H. pylori.
Palabras clave:
Diagnóstico y imágenes (incluyendo cromoendoscopia, NBI, iSCAN, FICE, CLE)Endoscopia del tracto gastrointestinal superiorEnfermedades precancerosas y lesiones cancerosas (displasia y cáncer) del estómagoMás Videos Relacionados
Videos de Conceptos Relacionados
01:28Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
200
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
200
01:21Barrett Esophagus-II: Clinical Manifestations and Management
293
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
293
01:21Barrett Esophagus-I: Introduction
201
Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
201
01:17Gastritis-II: Pathophysiology
543
Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
543
01:27Gastritis-I: Introduction and Types
930
Gastritis, defined by the inflammation or irritation of the stomach lining or gastric mucosa, manifests in several distinct forms: acute, chronic, reactive, and a specific subtype known as autoimmune metaplastic atrophic gastritis.
Acute gastritis presents as a sudden inflammation triggered by various stressors to the stomach lining, such as exposure to corrosive agents, local irritants like aspirin and other NSAIDs, alcohol consumption, radiation therapy, physical trauma, severe burns, sepsis,...
Acute gastritis presents as a sudden inflammation triggered by various stressors to the stomach lining, such as exposure to corrosive agents, local irritants like aspirin and other NSAIDs, alcohol consumption, radiation therapy, physical trauma, severe burns, sepsis,...
930
01:23Gastritis III: Clinical Manifestations and Management
474
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
474