The paper considers the principles of classification of chronic
duodenitis. The current classification of chronic
duodenitis may be divided into three parts: endoscopic, histological, and etiological. The characterizing terms of the endoscopic part are as follows:
erythema,
hemorrhages,
atrophy, erosions, follicles. The endoscopic localization of
duodenitis is as follows: proximal and distal portions (panduodenitis, including bulbitis in the proximal portion and postbulbitis in the distal portion, palpilitis). The nonspecific terms of the histological part are as follows: activity,
inflammation, and
atrophy. Its specific terms are: ventricular
metaplasia, ventricular heterotopia, Helicobacter pylori,
granulomas, lymphatic follicles, eosinophilic infiltration, lymphocytic infiltration. The following morphological categories of
duodenitis are: nonatrophic, nodular, granulomatous, eosinophilic, and lymphocytic. The morphological localization of
duodenitis is as follows: proximal and distal portions (panduodenitis, including bulbitis in the proximal portion and postbulbitis in the distal portion). The following degrees of its severity are: none changes, mild, moderate, and sever. The types (etiological factors) of
duodenitis are as follows:
acid-associated,
drug-dependent, toxic (eliminating), and isolated nonspecific (idiopathic). Its special forms are: H. pylori-induced, granulomatous (
Crohn's disease,
sarcoidosis), nodal (
Crohn's disease,
sarcoidosis,
acid-associated diseases), eosinophilic (unspecified
allergens), lymphocytic (
gluten-induced).