title: Two Cases of Chronic Gastritis with non-Helicobacter pylori Helicobacter Infection.
abstract: Two men, 48 and 54 years of age, were referred for medical checkups without any particular symptoms. Upper gastrointestinal endoscopy showed a normal gastric body, but white marbled appearance in the lesser curvature of the gastric angle and antrum. Biopsy specimens revealed relatively long and tightly coiled organisms. The two patients were diagnosed as having non-Helicobacter pylori helicobacter (NHPH) infection according to the findings of pathological and quantitative reverse transcription-polymerase chain reaction (qRT-PCR) analyses. After triple therapy (amoxicillin, clarithromycin, and rabeprazole), endoscopy showed an improvement of the white marbled lesions and biopsy specimens showed no NHPH. The white marbled appearance limited to the gastric angle and antrum may be a potential characteristic finding of NHPH-infected gastritis.
authors.affiliation: Department of Gastroenterology, SAPPORO MEDICAL CENTER NTT EC, Nippon Telegraph and Telephone East Corporation, Japan.
authors.forename: Satoka
authors.initials: S
authors.lastname: Shiratori
authors.forename: Katsuhiro
authors.initials: K
authors.lastname: Mabe
authors.forename: Shinji
authors.initials: S
authors.lastname: Yoshii
authors.forename: Yasunari
authors.initials: Y
authors.lastname: Takakuwa
authors.forename: Masaaki
authors.initials: M
authors.lastname: Sato
authors.forename: Masahiko
authors.initials: M
authors.lastname: Nakamura
authors.forename: Takahiko
authors.initials: T
authors.lastname: Kudo
authors.forename: Mototsugu
authors.initials: M
authors.lastname: Kato
authors.forename: Masahiro
authors.initials: M
authors.lastname: Asaka
authors.forename: Naoya
authors.initials: N
authors.lastname: Sakamoto
mesh_terms: D000658:Amoxicillin / Q000627:therapeutic use; D017291:Clarithromycin / Q000627:therapeutic use; D016145:Endoscopy, Digestive System; D005260:Female; D005753:Gastric Mucosa / Q000473:pathology; D005756:Gastritis / Q000150:complications* / Q000473:pathology; D016481:Helicobacter Infections / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D064750:Rabeprazole / Q000627:therapeutic use
chemical_list: D064750:Rabeprazole; D000658:Amoxicillin; D017291:Clarithromycin