1.Gastric Syphilis Mimicking Adenocarcinoma: A Case Report.
Yoon La CHOI ; Jae Joon HAN ; Da Keun LEE ; Min Ho CHO ; Ghee Young KWON ; Young Hyeh KO ; Cheol Keun PARK ; Geunghwan AHN
Journal of Korean Medical Science 2006;21(3):559-562
Syphilis is an unexpected diagnosis in the stomach, and the reduced incidence of syphilis has made its clinical presentation less widely appreciated. We report a 43-yr-old man suffering from epigastric tenderness with an initial diagnosis of gastric carcinoma; gastric syphilis was confirmed by demonstrating spirochetes in a gastric biopsy specimen by silver impregnation. Excessive lymphoplasmacytic infiltration with diffuse thickening of gastric rugae should raise suspicion of gastric syphilis, which should be considered in the differential diagnosis of diffuse erosive gastritis and infiltrative lesions of the stomach.
Syphilis/*diagnosis
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Stomach Neoplasms/*diagnosis
;
Stomach Diseases/*diagnosis/microbiology
;
Stomach/microbiology
;
Male
;
Humans
;
Fluorescent Treponemal Antibody-Absorption Test
;
Enzyme-Linked Immunosorbent Assay
;
*Diagnosis, Differential
;
Biopsy
;
Adult
;
Adenocarcinoma/*diagnosis
2.A Case of Gastric Syphilis with Duodenal Involvement.
Sung Hyun PARK ; Kee Taek JANG ; Jun Haeng LEE
The Korean Journal of Gastroenterology 2008;51(6):327-330
No abstract available.
Adult
;
Duodenal Diseases/*diagnosis/microbiology/pathology
;
Gastric Mucosa/microbiology/pathology
;
Gastroscopy
;
Humans
;
Male
;
Stomach Diseases/*diagnosis/microbiology/pathology
;
Syphilis/*diagnosis/microbiology/pathology
;
Tomography, X-Ray Computed
;
Treponema pallidum/isolation & purification
3.Relation between dysbacteriosis of Helicobacter pylori and Lactobacillus acidophilus and the pathogenesis of chronic gastropathy patients of Pi-Wei damp-heat syndrome.
Ming CHENG ; Ling HU ; Shao-xian LAO
Chinese Journal of Integrated Traditional and Western Medicine 2011;31(9):1273-1275
Pi-Wei theory is an important component of the basic theory of Chinese medicine. The pathogenesis of Pi-Wei damp-heat syndrome is an important content of Pi-Wei theory. The tongue coating is one of the most important signs reflecting Pi-Wei damp-heat syndrome. From the perspective of microecology and pathogenesis, the microbial disequilibrium caused by quantity changes of Helicobacter pylori (Hp) and Lactobacillus acidophilus (LA) and their interaction in the gastric mucosa and the tongue coating might have certain correlation with "mutual struggle between the evil and the vital qi, the disequilibrium between yin and yang". The pathogenesis features of chronic gastritis patients of Pi-Wei damp-heat syndrome was initially proposed in this article.
Diagnosis, Differential
;
Gastric Mucosa
;
microbiology
;
Helicobacter Infections
;
diagnosis
;
Helicobacter pylori
;
isolation & purification
;
Humans
;
Lactobacillus acidophilus
;
isolation & purification
;
Medicine, Chinese Traditional
;
methods
;
Stomach Diseases
;
diagnosis
;
microbiology
4.A Case of Gastric Candidiasis Presented as Subepithelial Mass in an Immunocompromised Host.
Su Hyun KIM ; Sang Gyun KIM ; Seung Joo KANG ; Mi Na KIM ; Jin Myung PARK ; Hyun Jin JO ; Moon Sun CHOI ; In Sung SONG
The Korean Journal of Gastroenterology 2009;53(1):43-47
Hepatosplenic candidiasis is also called chronic disseminated candidiasis and usually seen in patients with hematologic malignancies who have just recovered from an episode of neutropenia. Gastric candidiasis most commonly present as a mucosal lesion such as an ulcer or erosions, but other gastric lesion is very rare. We experienced a case of gastric candidiasis which presented as gastric subepithelial mass in a 60-year old woman who had undergone the 2nd consolidation chemotherapy due to acute myeloid leukemia. The pathologic diagnosis was confirmed by fine needle aspiration of the gastric subepithelial mass under the guidance of endoscopic ultrasonography.
Candidiasis/*diagnosis/immunology
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Endoscopy, Gastrointestinal
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Female
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Humans
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*Immunocompromised Host
;
Middle Aged
;
Stomach Diseases/microbiology/*pathology/ultrasonography
;
Tomography, X-Ray Computed
5.Relationship between Pepsinogen I/II Ratio and Age or Upper Gastrointestinal Diseases in Helicobacter pylori-positive and -negative Subjects.
Chang Nyol PAIK ; In Sik CHUNG ; Kwan Woo NAM ; Jung Hyun KWON ; Jae Hyuck CHANG ; Jung Pil SUH ; Jae Myung PARK ; Yu Kyung CHO ; In Seok LEE ; Sang Woo KIM ; Myung Gyu CHOI
The Korean Journal of Gastroenterology 2007;50(2):84-91
BACKGROUND/AIMS: Although previous reports suggested that pepsinogen (PG) I/II ratio was the index of gastric atrophy, PG I/II ratio was also related to other factors such as Helicobacter pylori (H. pylori) infection, various gastrointestinal diseases, and aging. The aim of this study was to evaluate the relationship between serum PG I/II ratio and age or upper gastro-intestinal diseases according to H. pylori infection status. METHODS: A total of 529 individuals (307 male; mean age, 57.2 years) were divided into 4 groups (94 gastric ulcers, 35 duodenal ulcers, 105 reflux esophagitis, and 295 atrophic gastritis) according to endoscopic diagnosis. H. pylori infection was determined by H. pylori IgG antibody (ELISA) and PG was measured by latex immunoassay. RESULTS: H. pylori infected patients showed markedly increased serum PG II levels (24.0+/-14.7 ng/mL vs. 13.8+/-16.6 ng/mL, p<0.001) and low PG I/II ratio (3.9+/-2.0 vs. 6.0+/-2.5, p<0.001) than non-infected subjects. In H. pylori infected patients, mean PG I/II ratios in the gastric ulcer and atrophic gastritis group were significantly lower than those of the duodenal ulcer and reflux esophagitis group (p<0.001, ANOVA, Turkey's multiples comparison test). The mean ratio of open type atrophic gastritis was lower than that of close type atrophic gastritis (3.0+/-1.4 vs. 3.8+/-1.7, p<0.005). PG I/II ratio gradually decreased with age in H. pylori-infected patients with atrophic gastritis (R(2)=0.9, p=0.005, linear regression analysis). CONCLUSION: Serum PG I/II ratio reflects H. pylori infection and gastric atrophy. In the presence of H. pylori infection, gastric atrophy progresses with age.
Adult
;
Age Factors
;
Aged
;
Aged, 80 and over
;
Diagnosis, Differential
;
Duodenal Ulcer/microbiology
;
Esophagitis, Peptic/microbiology
;
Female
;
Gastritis, Atrophic/microbiology
;
Gastrointestinal Diseases/*diagnosis/*microbiology
;
Helicobacter Infections/*diagnosis
;
*Helicobacter pylori/isolation & purification
;
Humans
;
Male
;
Middle Aged
;
Pepsinogen A/*blood
;
Pepsinogen C/*blood
;
Stomach Ulcer/microbiology
6.Relationship between Pepsinogen I/II Ratio and Age or Upper Gastrointestinal Diseases in Helicobacter pylori-positive and -negative Subjects.
Chang Nyol PAIK ; In Sik CHUNG ; Kwan Woo NAM ; Jung Hyun KWON ; Jae Hyuck CHANG ; Jung Pil SUH ; Jae Myung PARK ; Yu Kyung CHO ; In Seok LEE ; Sang Woo KIM ; Myung Gyu CHOI
The Korean Journal of Gastroenterology 2007;50(2):84-91
BACKGROUND/AIMS: Although previous reports suggested that pepsinogen (PG) I/II ratio was the index of gastric atrophy, PG I/II ratio was also related to other factors such as Helicobacter pylori (H. pylori) infection, various gastrointestinal diseases, and aging. The aim of this study was to evaluate the relationship between serum PG I/II ratio and age or upper gastro-intestinal diseases according to H. pylori infection status. METHODS: A total of 529 individuals (307 male; mean age, 57.2 years) were divided into 4 groups (94 gastric ulcers, 35 duodenal ulcers, 105 reflux esophagitis, and 295 atrophic gastritis) according to endoscopic diagnosis. H. pylori infection was determined by H. pylori IgG antibody (ELISA) and PG was measured by latex immunoassay. RESULTS: H. pylori infected patients showed markedly increased serum PG II levels (24.0+/-14.7 ng/mL vs. 13.8+/-16.6 ng/mL, p<0.001) and low PG I/II ratio (3.9+/-2.0 vs. 6.0+/-2.5, p<0.001) than non-infected subjects. In H. pylori infected patients, mean PG I/II ratios in the gastric ulcer and atrophic gastritis group were significantly lower than those of the duodenal ulcer and reflux esophagitis group (p<0.001, ANOVA, Turkey's multiples comparison test). The mean ratio of open type atrophic gastritis was lower than that of close type atrophic gastritis (3.0+/-1.4 vs. 3.8+/-1.7, p<0.005). PG I/II ratio gradually decreased with age in H. pylori-infected patients with atrophic gastritis (R(2)=0.9, p=0.005, linear regression analysis). CONCLUSION: Serum PG I/II ratio reflects H. pylori infection and gastric atrophy. In the presence of H. pylori infection, gastric atrophy progresses with age.
Adult
;
Age Factors
;
Aged
;
Aged, 80 and over
;
Diagnosis, Differential
;
Duodenal Ulcer/microbiology
;
Esophagitis, Peptic/microbiology
;
Female
;
Gastritis, Atrophic/microbiology
;
Gastrointestinal Diseases/*diagnosis/*microbiology
;
Helicobacter Infections/*diagnosis
;
*Helicobacter pylori/isolation & purification
;
Humans
;
Male
;
Middle Aged
;
Pepsinogen A/*blood
;
Pepsinogen C/*blood
;
Stomach Ulcer/microbiology
7.Gastric Wall Abscess.
Jun Young LEE ; Suck Chei CHOI ; Geom Seog SEO
The Korean Journal of Gastroenterology 2011;57(5):327-329
No abstract available.
Abscess/*diagnosis/microbiology
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Anti-Bacterial Agents/therapeutic use
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Cephalosporins/therapeutic use
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Gastroscopy
;
Humans
;
Klebsiella Infections/*drug therapy
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Klebsiella pneumoniae/*isolation & purification
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Male
;
Middle Aged
;
Stomach Diseases/*diagnosis/microbiology
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Tomography, X-Ray Computed