Left & Center: 86 year-old woman with protracted nausea, and abdominal discomfort. Endoscopy revealed antral gastritis with pale foci which proved to be intestinal metaplasia on biopsy.
Right: Variegated mucosal appearance in a 73 year-old woman. Biopsy revealed moderate chronic superficial gastritis with extensive intestinal metaplasia; Helicobacter pylori were absent.
Left: 81 year-old man with acid-peptic symptoms. At endoscopy, pale mucosa was noted in the immediate prepyloric antrum. Biopsies revealed intestinal metaplasia.
Center: 64 year-old woman with chronic nausea. The gastric mucosa had a variegated appearance, shown here. Biopsies revealed chronic gastritis with intestinal metaplasia.
Right: Similar variegated mucosal appearance in a 95 year-old woman. Biopsies revealed chronic gastritis with intestinal metaplasia.
Patchy intestinal metaplasia, paler than the surrounding mucosa, in the prepyloric antrum of a 52 year old woman with dyspeptic symptoms. Test for Helicobacter pylori was positive.
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