Pattern-based approach to duodenitis and duodenopathy

Cesk Patol. 2022 Summer;58(2):88-99.

Abstract

Duodenum is currently the most popular site to obtain samples of intestinal mucosa for recognition of a disorder leading to malabsorption. Although there are significant overlaps between histological findings described in various non-neoplastic diseases of the duodenum, recognition of one of the six basic morphologic patterns, namely coeliac disease-like pattern, active chronic duodenitis, acute GvHD-like pattern, enteritis with predominant eosinophilic infiltration, enteritis with predominant infiltration by macrophages, and non-inflammatory enteropathy, usually allows diagnostic separation, especially if subtle histological details, clinical setting and serological investigation are taken into account.

Keywords: Biopsy; duodenitis; duodenopathy; duodenum; endoscopy; pattern.

MeSH terms

  • Biopsy
  • Celiac Disease* / diagnosis
  • Celiac Disease* / pathology
  • Duodenitis* / diagnosis
  • Duodenitis* / pathology
  • Duodenum / pathology
  • Enteritis* / diagnosis
  • Enteritis* / pathology
  • Humans
  • Intestinal Mucosa / pathology