Pathologic Diagnosis of Gastric Intestinal Metaplasia

Shin, Nari; Park, Do Youn

doi:2013.13.2.84

Korean J Helicobacter Up Gastrointest Res > Volume 13(2); 2013 > Article

Review

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2013;13(2):84-90.
DOI: https://doi.org/10.7704/kjhugr.2013.13.2.84 Published online June 10, 2013.

Pathologic Diagnosis of Gastric Intestinal Metaplasia

Nari Shin, Do Youn Park

¹Department of Pathology, Pusan National University School of Medicine, Busan, Korea. pdy220@pusan.ac.kr
²Department of Pathology, Pusan National University Hospital, Busan, Korea.

장상피화생의 병리학적 진단

신나리^1,2, 박도윤^1,2

부산대학교 의학전문대학원 병리학교실¹, 부산대학교병원 병리과²

Abstract

Gastric intestinal metaplasia (IM) is one of the precursors of gastric adenocarcinoma and is clinically important regarding issue for recommendation of further endoscopic evaluation. Herein we review the histologic characteristics, molecular features and pathological diagnosis of IM. Histologically, IM has been classified as 3 types: type I complete IM, type 2 incomplete IM and type 3 incomplete IM. This classification is important to clinicians as well as pathologists. We emphasize that careful follow up should be recommended in patient with extensive IM or incomplete IM.

Key Words: Stomach; Metaplasia; Histology; Pathology; Diagnosis