Pathology of Gastric Diseases Flashcards

1
Q

What makes up the protective barrier of the stomach lining?

A
  1. Mucus Secretion
  2. Bicarbonate secretion
  3. Epithelial barrier with tight junctions
  4. Prostaglandin synthesis
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2
Q

Complications of H. pylori chronic gastritis

A
  1. Peptic ulcer (duodenal ulcers and 70% of gastric ulcers)
  2. gastric atrophy and intestinal metaplasia
  3. gastric dysplasia (premalignant stage)
  4. gastric carcinoma
  5. gastric lymphoma (MALT lymphoma)
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3
Q

What is this lesion?

A

Benign gastric ulcer

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4
Q

What are the complications of benign duodenal ulcers?

A
  1. Bleeding (may be life-threatening)
  2. Perforation (leading to peritonitis)
  3. outflow obstruction (intractable nausea and vomiting)
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5
Q

What are the characteristics of autoimmune gastritis?

A
  • antibody mediated destruction of parietal cells
  • associated with pernisious anemia (B12 deficient)
  • gastric atrophy and intestinal metaplasia
  • endocrine cell hyperplasia
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