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Atrophic Gastritis in the Arctic

      Almost 150 years after their first recorded use by Samuel Fenwick,
      • Fenwick S.
      On atrophy of the stomach.
      the terms gastric atrophy and atrophic gastritis remain incompletely defined. Is metaplasia (intestinal, pyloric, or pseudopyloric) an essential part of gastric atrophy? Is gastric atrophy synonymous with atrophic gastritis? If not, what percentage of the gastric mucosa must be atrophic before it becomes atrophic gastritis? Do we need histologic confirmation, or is an endoscopic appearance sufficient to declare a stomach atrophic? Recently as a consensus on the morphology of atrophy has been reached, a number of histopathologic guidelines have made their way into the collective conscience of gastrointestinal clinicians and pathologists.
      • Rugge M.
      • Correa P.
      • Dixon M.F.
      • et al.
      Gastric mucosal atrophy: interobserver consistency using new criteria for classification and grading.
      • Rugge M.
      • Genta R.M.
      Staging and grading of chronic gastritis.
      • Rugge M.
      • Correa P.
      • Di Mario F.
      • et al.
      OLGA staging for gastritis: a tutorial.
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