In this clinical case shows the relationship between intestinal metaplasia and gastric cancer, the videos are seen many islands of intestinal metaplasia. H pylori- associated chronic gastritis progresses with the following 2 main topographic patterns that have different clinical consequences: ˇ Antral predominant gastritis is characterized by inflammation and is mostly limited to the antrum. Individuals with peptic ulcers usually demonstrate this pattern of gastritis. ˇ Multifocal atrophic gastritis is characterized by involvement of the corpus and gastric antrum with progressive development of gastric atrophy (loss of the gastric glands) and partial replacement of gastric glands by an intestinal-type epithelium (intestinal metaplasia) Individuals who develop gastric carcinoma and gastric ulcers usually demonstrate this pattern of gastritis.
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