Grading and classification of chronic gastritis: One American response to the Sydney system

摘要: Anew classification of chronic gastritis coined the Sydney system has been proposed as a “flexible matrix rules.“‘* The claims that “the recognition Helicobacter pylori is major cause inflammation human gastric mucosa in part solved this problem”. As often case, enthusiasm over new medical findings may have led to overinterpretation. Chronic multifactorial disease, and its biological characteristics are stil1 poorly understood. H. undoubtedly an important etiologic factor but not only one. purpose article give reader our reasons for believing flaws regard both underlying premises about nature approach classifying these disorders. Furthermore, we believe those so serious they could detrimental effect on progress understanding if becomes widely accepted. We necessarily given contrasting views by reference terminology approaches previously reported one US,~ primary mere advocacy particular system. fee1 strongly gastritis, spurred recent exciting discoveries, continues evolve evolution should be impeded accepting questionable inferences etiopathogenesis premature attempts establish universal classification.