Upper GI Pathology Flashcards
histo of the oesophagus
submucosal glands but no goblet cells
what is the z line
in esophagus when strat sq cells > col epi
histo of the body/fundus of the stomach
col epi
chief cells -> pepsin
parietal cells -> acid + IF
no goblet cells
histo of the pylorus/antrum of the stomach
col epi
neuroendocrine cells -> gastrin
no goblet
histo of the duodenum
col epi with goblet cells
2:1 villous:crypt ratio
histo of oesophagitis
redness/inflam
GORD + ulceration
changes seen in barrets oesophagus
strat sp replaces with col epi -> columnar lined oesophagus
what might barrets oesophagus progress to
intestinal metaplasia (goblet cells in oesophagus)
histo of SCC of oesophagus
lower 2/3
Keritin + IC bridges
histo of adenocarcinoma of oesophagus
lower 1/3
association of oesophageal cancer
SCC - asso with smoking/alcohol/achalasia
adeno - asso with barrets
cause of gastritis
H.pylori bind to epi in stomach and inject toxins with cag A prot
what may chronic gastritis progress to
MALT - B cells driven
when does erosion become a gastric ulcer
when erosion goes beyond the mucosa and into the submucosa
what should happen to all gastric ulcers
Biopsied to exclude malig