본문 바로가기
KERD
논문KCI 등재

크론병에서 위 내시경 생검의 병리 소견

Pathological Findings of Crohn’s Disease in the Stomach

김경미|권기영|강창석|박철근|이안희|최규용|이보인|유창영|맹이소
대한병리학회|2006.08|Journal of Pathology and Translational Medicine|제40권 제4호|pp. 269-273

1

조회

0

다운로드

1

인용

0

참고문헌

주제분류병리학

초록

Abstract

Background : The incidence of Crohn’s disease in the upper digestive tract, and especially in the stomach, is recently increasing. Focal inflammatory reaction without Helicobacter pylori (H. pylori) infection is thought to be the characteristic pathologic findings suggesting Crohn’s disease in the stomach. Yet gastric involvement of Crohn’s disease has not been studied in Korea. We studied the endoscopic and pathologic findings of patients with Crohn’s disease in the stomach by taking biopsies. Methods : Thirty patients with Crohn’s disease who underwent gastroduodenoscopy followed by biopsies were included in the study. The pathology of the gastric biopsy specimens and the presence of H. pylori were evaluated. Results : Among 30 cases, 22 cases (73.3%) were H. pylori negative and 8 cases (26.7%) were H. pylori positive. For the H. pylori negative cases, all but one cases showed pit abscess and focal lymphocytic collections in the antrum. Granulomas were found in 6 cases (20%) and they were exclusively located in the antrum. Conclusions : In the stomach, pit abscess and focal lymphocytic collections that are not associated with H. pylori infection are the characteristic pathologic findings found in Crohn’s disease.

참고문헌 (23)

  1. "Recognition of Crohn disease on incidental gastric biopsy in childhood", 6, pp.209~214 (2003)
  2. "Proximal Crohn’s disease:review of the clinicopathologic features and therapy", 7, pp.328~337 (2001)
  3. "Clinical onset of the Crohn’s disease after eradication therapy of Helicobacter pylori infection Does Helicobacter pylori infection interact with natural history of inflammatory bowel diseases", 7, pp.137~141 (2001)
  4. "The role of esophagogastroduodenoscopy in the initial evaluation of childhood inflammatory bowel disease:a 7-year study", 35, pp.636~640 (2002)
  5. "Gastritis associated with Crohn disease can be masked by Helicobacter pylori gastritis", 34, pp.471~473 (1999)
  6. "Diagnostic role of upper gastrointestinal endoscopy in pediatric inflammatory bowel disease", 40, pp.383~ (2005)
  7. "Upper gastrointestinal tract endoscopy in inflammatory bowel disease", 12, pp.451~462 (2002)
  8. "Classification and grading of gastritis International workshop on the histopathology of gastritis", pp.1161~81
  9. "Focal inflammatory infiltrations in gastric biopsy specimens are suggestive of Crohn’s disease. Crohn’s disease study Group", pp.813~818 (1997)
  10. "Focally enhanced gastritis:a frequent type of gastritis in patients with Crohn’s disease", 112, pp.698~706 (1997)
  11. "The clinical significance of focally enhanced gastritis", 28, pp.1347~1351 (2004)
  12. "High incidence of upper gastrointestinal tract involvement in Crohn’s disease", 432, pp.49~52 (1998)
  13. "Upper gastrointestinal mucosal disease in pediatric Crohn disease and ulcerative colitis:a blinded,controlled study", 32, pp.443~448 (2001)
  14. "Focally enhanced gastritis in children with Crohn’s disease and ulcerative colitis", 97, pp.1415~1420 (2002)
  15. "Focal gastric inflammatory infiltrates in inflammatory bowel diseases:prevalence,immunohistochemical characteristics,and diagnostic role", 95, pp.705~711 (2000)
  16. "Histology of the stomach and duodenumin Crohn's disease", 22, pp.383~390 (1998)
  17. "Prevalence of Helicobacter pylori infection and correlation between severity of upper gastrointestinal lesions and H", 36, pp.740~747 (2001)
  18. "High frequency of helicobacter negative gastritis in patients with Crohn’s disease", 38, pp.379~383 (1996)
  19. "Assessment of the prevalence of infection with Helicobacter pylori in patients with inflammatory bowel disease", 12, pp.439~443 (2000)
  20. "Treatment of Helicobacter pylori associated gastrointestinal disorder", 10, pp.51~56 (2000)
  21. "Influence of Helicobacter pylori infection on the phenotype of Crohn’s disease", 94, pp.3239~3344 (1999)
  22. "Influence of treatment on morphological features of mucosal inflammation", 50(3), pp.37~42 (2002)
  23. "Granulomatous gastritis:a clinicopathologic analysis of 18 biopsy cases", 28, pp.941~945 (2004)

관련 논문AI추천

림프구 위염의 임상병리학적 분석송동은, 유은실, 장세진, 홍영옥, 황정은대한병리학회 · Journal of Pathology and Translational Medicine2007 · 제41권 제5호Endoscopic unusual appearance of stomach in a patient with Crohn’s diseaseJuan Yu, Wei-Feng Huang, Wei-Lin Yang, Xu Wang대한내과학회 · The Korean Journal of Internal Medicine2023 · 제38권 제2호위암 동반 유무에 따른 심재성 낭성 위염의 임상상강영우, 김범경, 김선문, 김용문, 이정의, 이태희, 이희정, 임의혁, 정승현, 최용우, 허규찬대한내과학회 · 대한내과학회지2006 · 제71권 제5호상부 위장관 크론병: 내시경적, 조직학적 병변과 Helicobacter pylori의 유병률에 대한 연구장린, 김병호, 김윤화, 김효종, 동석호, 이동근, 이병욱, 이정일, 장영운, 정용희, 한요셉대한소화기내시경학회 · Clinical Endoscopy2003 · 제27권 제1호대장 내시경 생검으로 진단된 결핵성 복막염 1례강진한, 김선미, 박혜진, 이수민, 정대철, 정승연대한소아감염학회 · Pediatric Infection and Vaccine2004 · 제11권 제1호위 근위부 점막의 유형과 임상병리학적 지표의 관계고경혁, 김활웅, 윤희상, 이정희, 이종실, 정운태대한병리학회 · Journal of Pathology and Translational Medicine2003 · 제37권 제1호

이 간행물의 다른 논문 (11건)

흰쥐 척수좌상에서 선택적 Cyclooxygenase-2 억제제인 NS-398 전처치의 효과김정옥, 김정완, 박태인, 손윤경, 강구성, 정현대, 성주경, 함인석pp. 255-262방광에 생긴 미세유두변이 요로상피세포암종의 임상 및 병리학적 분석최영진, 이경지, 이아원, 심상인, 이교영, 강창석pp. 263-268난소 상피 종양에서 G1/S 세포주기 조절단백의 변화김활웅, 신동훈, 강현정, 이창훈, 김지연, 설미영, 최경운pp. 274-281방광의 요로상피세포종양의 ISUP/WHO등급에 대한 연구심정원, 이동화, 조남훈, 최영진, 한운섭, 박용욱, 심상인, 노재윤, 김영식pp. 282-288프로필타이오우라실(Propylthiouracil)에 의한 간손상 - 1예 보고 -곽지은, 지제근, 주미, 장선희, 김한성, 이종국, 문진수pp. 289-291
원문 보기