Toshihiro Nishizawa1,2, Shuntaro Yoshida1, Osamu Toyoshima1. 1. Department of Gastroenterology Toyoshima Endoscopy Clinic Tokyo Japan. 2. Department of Gastroenterology and Hepatology Narita Hospital, International University of Health and Welfare Chiba Japan.
Dear Editor,We have read the article “endoscopic findings of cardiac lymphoid hyperplasia and Helicobacter pylori infection status” by Adachi and his colleagues with great interest.
The photos of cardiac lymphoid hyperplasia were beautiful, and we easily noticed that cardiac lymphoid hyperplasia was the same as cardiac nodularity‐like appearance which we recently reported.
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In fact, we also have reported a similar phenomenon. We have found that this endoscopic finding was associated with H. pylori infection
and was improved by H. pylori eradication.
Nodularity mainly appears in the antral mucosa with H. pylori infection, and antral nodularity is also improved by H. pylori eradication.
The nodularity as the endoscopic term is included in the Kyoto classification, and the pathophysiology is lymphoid hyperplasia.
So, the term may be better to be used to correspond to this. We considered that cardiac nodularity‐like appearance should be used as an endoscopic finding, and the pathophysiology is cardiac lymphoid hyperplasia. Either way, the term should be unified.