. Diseases of the stomach : including dietetic and medicinal treatment . andgray, grayish red, or grayish violet in color. In many cases, especiallythose of long standing, there is a diffuse or patchy slate color fromchanges in the blood jjjgmcnt. The mucous membrane tears less PATHOLOGY 45 readily than normal, aiul it is not normally movable upon the under-lying tissue. Occosionally small ulcers or superficial erosions are seen. At times the thickened mucosa appears rough, wrinkled, and mamil-lated. It is to this condition that the French have given the nameetat mammeolone. Rarely this change
. Diseases of the stomach : including dietetic and medicinal treatment . andgray, grayish red, or grayish violet in color. In many cases, especiallythose of long standing, there is a diffuse or patchy slate color fromchanges in the blood jjjgmcnt. The mucous membrane tears less PATHOLOGY 45 readily than normal, aiul it is not normally movable upon the under-lying tissue. Occosionally small ulcers or superficial erosions are seen. At times the thickened mucosa appears rough, wrinkled, and mamil-lated. It is to this condition that the French have given the nameetat mammeolone. Rarely this change is so aggravated that theterm gastritis polyposis is fitting. These protuberances cannot besmoothed out by stretching as can the contractions of the normalstomach. This type of gastritis may go on to a typical cirrhosis ventriculi,with vjery great thickening of the stomach wall, and a marked reduc-tion in the size of the organ. Microscopically, there is seen a proliferation of the interstitial andinterglandular connective tissue, and of the glands themselves. Fig. 5. B Chronic atrophic gastritis. A, mucosa, showing marked increase in fibrous tissue with atrophyof the glands; B, submucosa; C, muscularis. The thickened submucosa is firmly adherent to the muscularis whichis generally very considerably thickened, the hypertrophy affectingprincipally the circular coat. This thickening may be so marked atthe pylorus as to cause a certain amount of stenosis with subsequentdilatation of the stomach. Even the serosa may be thickened and wrinkled. The gland tubules in the mucosa may show irregular branching and 46 CHRONIC GASTRITIS cyst formation. The latter may be so marked as to cause a truegastritis cystica. At times there may be seen in the midst of the mucous membrane,patches of epitheHum and glands, identical with the intestinal type. Atrophic Type.—The chief characteristic of this form of chronicgastritis, which is also known by the names anadenia ventriculi andphthisis ventric
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