gastric intestinal metaplasia (GIM) is considered to be a precursor of gastric cancer
which is still the fourth most common cancer and second leading cause of cancer related
death worldwide after lung cancer. There is also a relationship between ga
stric intestinal
metaplasia and H.pylory which is one of the most important factors predisposing it . As a
result, H. pylori eradication is one of the most promising approaches in gastric cancer
prevention.
The aim of the study was investigated the prevalence of GIM and its subtypes, and
the prevalence of H. pylori infection in GIM.
the study was conducted on 200 patients who were undergoing
esophagogastroduodenoscopy (EGD) with biopsy between January 2016 and April 2017,
in the university hospitals of Tishreen university. Specimens were stained with
hematoxylin and eosin to determine the pattern of intestinal metaplasia. And Helicobacter
pylori was investigated by Giemsa staining.
The prevalence of GIM was 16%. The prevalence of complete IM was higher than
incomplete IM. The prevalence of H. pylori infection was 50% in GIM, without presence
of statistical importance ) P > 0.05). The prevalence of chronic gastritis was 100% in GIM
(P Value = 0.02). Gastric intestinal metaplasia was more prevalent in older patients.
GIM is a common finding in patients undergoing EGD with biopsy in our region.
Chronic gastritis is considered as the most important reason for the development of GIM.
This is s retrospective analytic study of 27 cases of esophagojejunal anastomotic leakage after gastrectomy for gastric cancer during the period 1\1\1997 -1\1\2014 at AL Assad University Hospital, Lattakia, Syria. The most common risk factors of lea
kage were: factors related to the patient: (age, sex, hemoglobin level, total protein level, and albumin level); factors related to surgical resection: (combined resection of other organs, mechanical and manual esophago-jejunostomy) and factors related to the tumor: (tumor stage, tumor location, and ends of anastomosis free of tumor)
