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<p class="ql-align-justify">Gastric mucosa mild glandular atrophy and moderate infiltration by lymphocytes and plasma cells. Neutrophils are seen infiltrating glands thus indicating activity. H. pylori characteristic forms are seen colonizing glands. 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>malignancy with 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">Gastric edematous/granular mucosa with thickened peripyloric folds, and duodenal fissuring with cobblestone appearance.</p>
<p>Two biopsies were received:</p><p class="ql-align-justify">1- Gastric: soft tissue fragments collectively measured 1 cm.</p><p class="ql-align-justify">1- Duodenal: soft tissue fragments collectively measured 1 cm, totally embedded.</p>
<p><strong><em><u>Stomach, endoscopic biopsy:</u></em></strong></p><ul><li><strong>H. pylori-associated chronic atrophic gastritis with moderate inflammatory activity. </strong></li><li><strong>Negative for atypia and malignancy. </strong></li></ul><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. Modified Marsh-Oberhuber classification, grade 3a (</strong><strong style="background-color: oklch(0.9798 0.005 78.3); color: oklch(0.2642 0.013 93.9);">Corazza & Villanacci </strong><strong>grade B1).</strong></li><li><strong>Negative for malignancy. </strong></li></ul>
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