Follicular Gastritis
Follicular Lymphoid Hyperplasia.

Video Endoscopic Sequence 1 of 4.

Follicular Lymphoid Hyperplasia.

(Goose pimple stomach).

The lesions are raised, flat or nodular folds, and are often associated with gastric ulceration. The etiology of this condition remains unclear, but Helicobacter pylori infection has been implicated. Microerosions are frequently seen with magnifying endoscopes.

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Endoscopic View of Follicular Lymphoid Hyperplasia

Video Endoscopic Sequence 2 of 4.

Endoscopic View of Follicular Lymphoid Hyperplasia.

In follicular gastritis, gastric acidity is significantly reduced, but can be normalized by eradication of H. pylori. It can thus be speculated that inflammatory cytokines or H. pylori -infection induced prostaglandins might strongly inhibit gastric acid secretion in follicular gastritis.



Follicular Lymphoid Hyperplasia.

Video Endoscopic Sequence 3 of 4.

Follicular Lymphoid Hyperplasia.

Seen with magnification and high-resolution chromoendoscopy using indigo carmin.



Endoscopy of Follicular Lymphoid Hyperplasia

Video Endoscopic Sequence 4 of 4.

Endoscopy of Follicular Lymphoid Hyperplasia.

Innumerable small hemispherical elevations, many with a slightly depressed or umbilicated center, are characteristic of follicular gastritis.


Follicular Lymphoid Hyperplasia.

Follicular Lymphoid Hyperplasia.

Diffuse hyperplasia of lymphoid follicles at the antrum. (Goose pimple stomach).

Proliferation of submucosal lymphoid follicles in the gastrointestinal tract. Lymph follicles are a normal component of gut associated lymphatic tissue.


 

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