Antral gland gastritis (type B) is the most common pattern; it is associated with Helicobacter pylori and duodenal ulcers. In some persons, chronic superficial antral gland gastritis associated with helicobacter pylori progresses to multifocal atrophic gastritis. However, the mechanism by which gastric atrophy occurs is unclear and is probably multifactorial. As the atrophy progresses, the presence of helicobacter pylori decreases, possibly because hypochlorhydria creates an environment that is not conducive to the bacteria.
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