Chronic active and atrophic gastritis as significant contributing factor to the development of gastric cystica profunda

World J Gastroenterol. 2024 May 7;30(17):2308-2310. doi: 10.3748/wjg.v30.i17.2308.

Abstract

Gastric cystica profunda (GCP) is an uncommon but underestimated gastric lesion. Its precancerous potential determines its significance. In addition to previous mucosa injury due to operations, biopsy or polypectomy, chronic active and atrophic gastritis may also lead to the development of GCPs. By carefully examining the stomach and taking biopsy samples from the susceptible regions, the stage of atrophy can be determined. Chronic atrophic gastritis is a risk factor for cancer evolvement and it can also contribute to GCPs formation. GCPs frequently occur close to early gastric cancers (EGCs) or EGC can arise from the cystic glands. Endoscopic resection is an effective and minimally invasive treatment in GCP.

Keywords: Atrophic gastritis; Chronic active gastritis; Early gastric cancer; Endoscopic resection; Gastric cystica profunda; Operative Link for Gastritis Assessment staging.

Publication types

  • Editorial

MeSH terms

  • Biopsy
  • Chronic Disease
  • Cysts / etiology
  • Cysts / pathology
  • Cysts / surgery
  • Gastric Mucosa* / diagnostic imaging
  • Gastric Mucosa* / pathology
  • Gastric Mucosa* / surgery
  • Gastritis, Atrophic* / complications
  • Gastritis, Atrophic* / pathology
  • Gastritis, Atrophic* / surgery
  • Gastroscopy
  • Humans
  • Precancerous Conditions* / etiology
  • Precancerous Conditions* / pathology
  • Precancerous Conditions* / surgery
  • Risk Factors
  • Stomach Diseases / etiology
  • Stomach Diseases / pathology
  • Stomach Diseases / surgery
  • Stomach Neoplasms* / etiology
  • Stomach Neoplasms* / pathology
  • Stomach Neoplasms* / surgery