Articles
| Open Access |
https://doi.org/10.55640/
MORPHOLOGICAL ANALYSIS OF STRUCTURAL REMODELING OF THE MUCOSA AND FIBROTIC PROCESSES IN PYLORODUODENAL STENOSIS
Kushiyev Jahongir Habibjon ugli , Tashkent State Medical University, Department of Faculty and Hospital Surgery No. 1, Tashkent, UzbekistanAbstract
This study evaluates the morphological and morphometric characteristics of the stenotic area in pyloroduodenal stenosis according to disease stages. The study included 54 patients, with biopsy samples obtained exclusively from the ulcer-scarred pyloroduodenal region at five points per patient. The specimens were analyzed at the levels of the mucosal, submucosal, and upper muscular layers. The results demonstrated progressive mucosal thinning, reduction of glandular volume, and intensification of inflammatory and fibrotic changes with advancing stages of pyloroduodenal stenosis.
Keywords
pyloroduodenal stenosis, morphological analysis, morphometry, fibrosis, mucosa.
References
Sung JJY, Kuipers EJ, El-Serag HB. Systematic review: the global incidence and prevalence of peptic ulcer disease. Aliment Pharmacol Ther. 2014;40(8):867–873.
Lanas A, Chan FKL. Peptic ulcer disease. Lancet. 2017;390(10094):613–624.
Malfertheiner P, Megraud F, O’Morain CA, et al. Management of Helicobacter pylori infection — the Maastricht V/Florence Consensus Report. Gut. 2017;66(1):6–30.
Sugano K, Tack J, Kuipers EJ, et al. Kyoto global consensus report on Helicobacter pylori gastritis. Gut. 2015;64(9):1353–1367.
Zhang C, Wu J, Xu W, et al. Pathological mechanisms of gastric outlet obstruction secondary to peptic ulcer disease. World J Gastroenterol. 2015;21(36):10253–10259.
Shone DN, Nikoomanesh P, Smith-Meek MM, et al. Malignancy is the most common cause of gastric outlet obstruction in the era of H2 blockers. Am J Gastroenterol. 2015;90(10):1769–1770.
Kochhar R, Dutta U, Sethy PK, et al. Endoscopic balloon dilatation in the management of benign gastric outlet obstruction. Gastrointest Endosc. 2014;80(4):798–805.
Abbas AM, Strong AT, Diehl DL, et al. Endoscopic management of benign gastric outlet obstruction. Gastrointest Endosc Clin N Am. 2019;29(3):455–468.
Yamada T, Alpers DH, Kalloo AN. Textbook of Gastroenterology. 6th ed. Wiley-Blackwell; 2016.
Dixon MF, Genta RM, Yardley JH, et al. Classification and grading of gastritis: the updated Sydney system. Am J Surg Pathol. 2015;20(10):1161–1181.
Rugge M, Genta RM. Staging gastritis: an international proposal. Gastroenterology. 2017;152(3):744–752.
Kikuchi R, Nasu J, Kato H, et al. Fibrosis progression and remodeling in chronic gastritis. Histopathology. 2016;69(5):834–842.
Quach DT, Hiyama T, Nguyen TN. Gastric mucosal atrophy and intestinal metaplasia: clinical implications. World J Gastroenterol. 2016;22(38):8536–8544.
Park JY, Cornish TC, Lam-Himlin D, et al. Gastric outlet obstruction: a clinicopathologic review. Arch Pathol Lab Med. 2019;143(3):404–409.
Kahrilas PJ, Shaheen NJ, Vaezi MF. American Gastroenterological Association medical position statement on gastric outlet obstruction. Gastroenterology. 2020;158(5):1380–1387.
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