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Overview of Gastric Pathology: Non-Neoplastic Diseases

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“Chemical” Gastropathy<br />

• The final common pathway <strong>of</strong> mucosal damage due to chemicals, drugs,<br />

or bile reflux, characterized by any combination <strong>of</strong>:<br />

– Mucosal edema, congestion, and hemorrhage<br />

– Foveolar hyperplasia<br />

– Foveolar mucin depletion<br />

– Regenerative changes<br />

– Microscopic mucosal erosions<br />

– Increased smooth muscle fibers in the lamina propria<br />

– Relative paucity <strong>of</strong> inflammation<br />

• Alcohol, NSAIDS, and other drugs produce a similar pattern <strong>of</strong> injury

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