Gastrointestinal Tract - Original Article
Vol. 32 No. 7 (2021): 2021.32.7-Turkish Journal of Gastroenterology
Natural Progression of Helicobacter pylori-Negative Gastritis with Lymphoid Follicles in Children: Prospective Evaluation and Outcome
Main Article Content
Abstract
Background: The association of Helicobacter pylori-negative gastritis with lymphoid follicles (LFs) in children is still unclear. Therefore, we aimed to investigate the natural history and significance of H. pylori-negative gastritis with LFs in children.<br>
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Methods: We identified children with histologically proven H. pylori-negative gastritis with LFs between June 2014 and January 2017. The children were invited for a follow-up examination. The clinical, endoscopic, and histological findings of the index esophagogastroduodenoscopy (EGD) were revised and compared to the follow-up findings.<br>
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Results: A total of 754 children underwent EGD. Among the 48 children diagnosed with H. pylori-negative gastritis, 17 (35.41%) had gastric LFs. Eight agreed to participate in the study. The mean follow-up was 25.58 ± 4.52 (range, 20.53-35.73) months. Three children still had histologic findings of chronic gastritis with LFs. Four children had resolution of the gastritis but still had LFs, and 1 patient had resolution of both the gastritis and LFs.<br>
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Conclusion: LFs were still present in children with H. pylori-negative gastritis after a mean follow-up of 2 years, and in some children, despite resolution of the gastritis. Therefore, this histological finding might be a non-pathological feature in children and does not need any contribution or follow-up.<br>
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Cite this article as: Richter V, Mendlovic S, Shalem T, Eindor-Abarbanel A, Shirin H, Broide E. Natural progression of Helicobacter pylorinegative gastritis with lymphoid follicles in children: Prospective evaluation and outcome. Turk J Gastroenterol. 2021; 32(7): 575-580.
<br>
Methods: We identified children with histologically proven H. pylori-negative gastritis with LFs between June 2014 and January 2017. The children were invited for a follow-up examination. The clinical, endoscopic, and histological findings of the index esophagogastroduodenoscopy (EGD) were revised and compared to the follow-up findings.<br>
<br>
Results: A total of 754 children underwent EGD. Among the 48 children diagnosed with H. pylori-negative gastritis, 17 (35.41%) had gastric LFs. Eight agreed to participate in the study. The mean follow-up was 25.58 ± 4.52 (range, 20.53-35.73) months. Three children still had histologic findings of chronic gastritis with LFs. Four children had resolution of the gastritis but still had LFs, and 1 patient had resolution of both the gastritis and LFs.<br>
<br>
Conclusion: LFs were still present in children with H. pylori-negative gastritis after a mean follow-up of 2 years, and in some children, despite resolution of the gastritis. Therefore, this histological finding might be a non-pathological feature in children and does not need any contribution or follow-up.<br>
<br>
Cite this article as: Richter V, Mendlovic S, Shalem T, Eindor-Abarbanel A, Shirin H, Broide E. Natural progression of Helicobacter pylorinegative gastritis with lymphoid follicles in children: Prospective evaluation and outcome. Turk J Gastroenterol. 2021; 32(7): 575-580.