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<p class="ql-align-justify">Gastric mucosa showing mild atrophy with superficial erosions and moderate infiltration by lymphocytes and plasma cells. Lymphocytes aggregate in some foci to form lymphoid follicles with active germinal centers. Neutrophils are seen infiltrating glands thus indicating activity. H. pylori characteristic forms are present. There is no evidence of intestinal metaplasia, atypia or malignancy.</p><p class="ql-align-justify">Duodenal mucosa show focal moderate villous atrophy associated i<span style="color: rgb(0, 29, 53);">ntraepithelial lymphocytosis and crypt hyperplasia </span>malignancwith submucosal mild infiltrate of lymphocytes and plasma cells. No evidence of specific granulomas. No evidence of atypia or malignancy.</p>
<p class="ql-align-justify">Hyperemia and fissuring of duodenal mucosa with hyperemic gastric mucosa.</p>
<p>Two biopsies were received:</p><p class="ql-align-justify">1- Gastric: soft tissue fragments collectively measured 0.8 cm, totally embedded.</p><p class="ql-align-justify">2- Duodenal: soft tissue fragments collectively measured 1 cm, totally embedded.</p>
<h3><strong><em><u>Stomach, endoscopic biopsies :</u></em></strong></h3><ul><li class="ql-align-justify"><strong>H. pylori associated chronic follicular atrophic erosive gastritis with moderate inflammatory activity. </strong></li><li class="ql-align-justify"><strong>Negative for intestinal metaplasia, dysplasia or malignancy </strong></li></ul><h3><br></h3><h3><strong><em><u>Duodenum, endoscopic biopsy:</u></em></strong></h3><ul><li><strong>Focal moderate villous atrophy with associated chronic non-specific duodenitis, consistent with celiac disease. </strong></li><li><strong>Modified Marsh-Oberhuber classification, grade 3a (</strong><strong style="color: oklch(0.2642 0.013 93.9); background-color: oklch(0.9798 0.005 78.3);">Corazza & Villanacci </strong><strong>grade B1).</strong></li><li><strong>Negative for malignancy. </strong></li></ul><h3><br></h3>
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