3. Case 1
โข 60 year male
โข Upper GI discomfort for the past 7
months
โข Underwent EGD - erosions in the
antrum
โข Fundic and antral biopsies taken
4.
5.
6.
7.
8. Corpus Antrum
Ch. Inflammation Severe
Neutrophilic activity Moderate
H. pylori Severe
Intestinal metaplasia
Mild
Atrophy
Case 1
Others:
Nil
10. Case 2
โข 38 year male
โข Pain in the epigastrium
โข History of renal transplant and
immunosuppression
โข Underwent EGD - irregular
erythematous areas in the body
โข Fundic and antral biopsies taken
15. Case 3
โข 45 year female
โข Unexplained megaloblastic anemia for
the past 5 months (Hb. 8 gms%)
โข Underwent EGD - Gastric erosions,
more in the body with relative antral
sparing
โข Fundic and antral biopsies taken
16.
17.
18.
19. Corpus Antrum
Ch. Inflammation Mild
Nil
Neutrophilic activity
Nil
H. pylori
Intestinal metaplasia Moderate
Atrophy Marked
Case 3
Others:
Endocrine cell
hyperplasia
Pyloric metaplasia
26. Case 5
โข 66 year female
โข Now presented with heart burn - 4
months
โข H/O Rheumatoid Arthritis +
โข Underwent EGD - pre-pyloric mucosal
ulcerations
โข Fundic and antral biopsies taken
27.
28.
29. Corpus Antrum
Ch. Inflammation
Nil
Neutrophilic activity
H. pylori
Intestinal metaplasia
Atrophy
Case 5
Others:
1. Villiform surface changes
2. Edema of lamina propria
3. Muscularis mucosa Hyperplasia with
ext. in to LP