Description

The Sydney System can be used to accurately describe the extent and histologic appearance of gastritis. The scheme was developed by a Working Party designated at the 9th World Congresses in Gastroenterology.


 

Parameters:

(1) etiology (prefix term)

(2) topography and special forms/associations (core term)

(3) morphology (suffix term)

 

Etiological classification:

(1) Helicobacter pylori

(2) autoimmune-associated

(3) idiopathic

(4) drug-associated

(5) other gastric irritant

(6) bacterial, other than Helicobacter

(7) viral

(8) parasitic

(9) fungal

 

Topography:

(1) corpus

(2) antrum

(3) both corpus and antrum (pangastritis)

 

Temporal:

(1) acute (acute inflammation with no or minimal chronic inflammation)

(2) chronic (lymphoplasmocytic predominant)

(3) special forms (with a recognizable pattern)

 

Special forms:

(1) eosinophilic gastritis

(2) lymphocytic gastritis

(3) Crohn's disease associated granulomatous gastritis

(4) sarcoidosis

(5) idiopathic granulomatous gastritis

(6) reactive gastritis

(7) radiation-associated gastritis

(8) phlegmonous gastritis

(9) post-gastrectomy associated

 

Morphological parameters determined separately for the corpus and antrum:

(1) chronic inflammation

(2) activity (acute neutrophilic infiltrate)

(3) atrophy

(4) intestinal metaplasia

(5) number of bacteria morphologically consistent with Helicobacter pylori

 

Grading for each morphologic parameter:

(1) none

(2) mild

(3) moderate

(4) severe

 

Additional non-graded variables:

(1) nonspecific

(2) specific

 


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