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Copyright ©The Author(s) 2015.
World J Gastrointest Endosc. Mar 16, 2015; 7(3): 265-273
Published online Mar 16, 2015. doi: 10.4253/wjge.v7.i3.265
Table 1 Summary of 60 collagenous gastritis patients
Ref.Age (yr)GenderSymptoms
Endoscopic Findings
H. pyloriCollagen band (μm)
TreatmentFollow-up biopsy duration (yr)Histological changesClinical course
Abdominal painAnemiaDiarrheaNausea, vomitingOthersNodularityErythemaErosion, gastritisOthersStomachColon
[10]7F++-----+-NAYesNoneOral iron supplementation, Proton-pump inhibitor0.5Improvement of inflammation remaining of collagen bandImprove
[11]9F-+--Retrosternal pain-+---13-96< 5Proton-pump inhibitor, Sucralfate, Steroid1.1No reductionNo change
[12]9F+------+--35NoneOral iron supplementation4Decrease of chronic gastritis, Unchanged collagen bandsClinical remission
[13]9F+----+----YesYesOral iron supplementationNANAImprove
[14]9F++------NANAYesNAMesalazineNARemain
[15]12F---+-+---+NANoneProton-pump inhibitor1Severe erosive gastritisRemain
[15]12F+----+---+NANoneProton-pump inhibitor6Decrease of nodulesImprove
[15]12F+----+---+NANAProton-pump inhibitor0.17NAImprove
[16]12F-+---+----YesNoneOral iron supplementationNA
[17]13F-+---+----76NANoneNANANA
[18]14F+----+----75NoneProton-pump inhibitor, Sucralfate, H2-receptor antagonist12Gradual progressionRemain
[17]14F---+---+--23NAProton-pump inhibitorNANARemain
[8]15F++--Gastrointestinal bleeding+----75NoneH2-receptor antagonist, sucralfate, furazolidone2No reductionNA
[19]15F-+---+---+NANAProton-pump inhibitors, Oral iron supplementation, Steroid0.83NAClinical remission
[17]15F++---+----69NoneSteroid3.4Decrease of inflammationImprove
[4]16F++---+----NANoneH2-receptor antagonist, Proton-pump inhibitor, Oral iron supplementation,6No reductionImprovement of anemia
[20]20F+----+----30-70NoneProton-pump inhibitor2No changeNA
[21]22F-+---+----40-45NANoneNANANA
[40]22F++--Gastrointestinal bleeding+-+Duodenitis-60-100NoneH2-receptor antagonist,Proton-pump inhibitor1No changeImprove
[22]25F-+---+----24YesNone0.25No changeNA
[23]25F--+-----NANAYesNANoneNANANA
[23]25F--+-Body weight loss---NANAYesYesNANANANA
[39]25F++---+--NA-17NoneH2-receptor antagonist,Proton-pump inhibitor4No changeNo change
[24]35F--+-Abdominal distention+----20-30NoneSulfasalazineNANARemission of diarrhea
[4]39F-+--Fatigue---Normal-NAYesGluten-free diet4No reductionImprove
[21]40F--+-----Normal-40-41NoneSteroid, Sulfasalazine, Parenteral nutrition2Resolve of collagen bandNA
[21]52F-+------Normal+15-20NoneNoneNANANA
[17]52F+-+----+--78NoneGluten-free dietNANAImprove
[25]57F--+---+---20-40> 30Steroid1.5No changeResponded to steroid
[17]57F+----+----40NAGluten-free dietNANAImprove
[22]58F--+--+----15.8NoneSteroid1.5Improvement of inflammation remaining of collagen bandNA
[17]62F---+---+--94NANoneNANANA
[2]68F-+--Dyspepsia+----NoneNoneOral iron supplementation, Proton-pump inhibitor0.83Improvement of inflammation increase of collagen bandPartial relief
[26]74F+-+---+---YesYesProton-pump inhibitor0.08No changeImprove
[27]75F--+-----NormalNA30-6010-30NANANANA
[28]0.75M--+----+-+5017Steroid, Total parenteral nutrition14Gradual progressionImprove with total parenteral nutrition
[29]2M--+----+-+> 5NAProton-pump inhibitors, Mesalazine, Steroid, Bismuth subsalicylateNANAImprove
[30]9M++---+----30-150NoneOral iron supplementation2NANA
[21]11M-+---+----50-69NoneNone8Moderate decreaseNA
[10]11M++---+---NA> 10NAProton-pump inhibitor, Oral iron supplementation5Improvement of inflammationresolve of collagen bandImprove
[13]15M--+--+----3030Proton-pump inhibitor, Steroid, MesalazineNANAClinical remission
[17]19M++--Perforation of ulcer+----40NASucralfate0.25Improvement of inflammationdecrease of collagen bandImprove
[38]19M+---Constipation+---NA15NoneNone0.5ProgressionImprove
[31]20M+--+-+----15-4320-30H2-receptor antagonist, Oral iron supplementation4ProgressionNo change
[32]25M+--+Abdominal distention+----> 10NoneProton-pump inhibitorNANAImprove
[33]25M+-------Normal+YesNANoneNANANA
[17]34M++--Gastrointestinal bleeding+----78NANone9.9Gradual progressionNA
[33]35M-----+----50NoneNone14IncreaseIncrease
[21]36MNANANANANA---NA-15-20NANoneNANANA
[35]37M--+-Body weight loss+----120NoneSteroid, Azathioprine, Parenteral nutrition1.67No changeImprove
[36]42M-++-Abdominal distention, Rectal bleeding-+--NA26-10NoneGluten-free diet0.25No changeImprove
[9]47M+-------Normal+70NoneProton-pump inhibitorNANAImprove
[17]56M---+-+----87NoneSteroid, Gluten-free dietNANAImprove
[3]56M+--+Body weight loss--+-NAYesNANANANANA
[37]57M-++---+--NA13-45NoneSteroid, MesalazineNANAImprove
[17]59M----Dysphagia---Normal-54NANoneNANANA
[17]68M--+----+--20NASteroid, Gluten-free diet0.75Gradual progressionRemain
[23]72M--+-Body weight loss---NANAYesYesSteroidNANAImprove
[21]77M-------+-+20-28NANoneNANANA
[17]80M-++--+----47NoneSteroidNANANA
Table 2 Difference of mucosal pattern
Nodular mucosaDepressive mucosa
No significant inflammationInfiltration of inflammatory cells
Irregular distributionAtrophic glands
Irregular sizeCollagen band
Normal mucosal surface patternAmorphous or absent surface structure Abnormal capillary vessels
Table 3 Differences of adult and pediatric type of collagenous gastritis
Pediatric typeAdult type
EtiologyUnknownSystematic disease, Autoimmune disease, drug induced
Gastrointestinal tract involvedStomachStomach, colon, duodenum
SymptomsAbdominal pain, anemiaDiarrhea
EndoscopyHeterogeneous, Nodular pattern,Homogeneous
HistologyHeterogeneous inflammatory infiltration, collagen bandHomogeneous inflammation