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Table 2 Histopathological changes, grading and scoring a

From: The efficacy and safety of Jian-Wei-Qu-Tong Pills for the treatment of chronic non-atrophic gastritis (spleen and stomach qi deficiency with damp-heat stasis syndrome): study protocol for a phase II, randomized controlled trial

Histopathological changes

Grading system

Score

Chronic inflammation

Normal or number of mononuclear cells less than 5/high power field

0

+ (mild): Some chronic inflammatory cells are localized in the superficial layer of the mucosa, but not more than 1/3 of the depth of the mucosa;

1

++ (moderate): A more dense accumulation of chronic inflammatory cells, but not exceeding 2/3 of the depth of the mucosa

2

+++ (severe): A dense accumulation of chronic inflammatory cells occupying the whole depth of the mucosa

3

Active chronic inflammation

Normal

0

+ (mile): Few neutrophils in the lamina propria of the mucosa

1

++ (moderate): More neutrophils in the mucosal layer and between superficial epithelial cells, pit epithelial cells and glandular epithelial cells.

2

 

+++ (severe): A more dense infiltration of neutrophils, or abscess on pits can be seen in addition to what is seen in moderate activity.

3

  1. aTwo to five biopsy specimens reaching musculature in the mucosa will be taken from gastric antral, gastric angle or suspected focal lesions of sufficient size. For the specimens taken at the first and sixth visits, the regions should be chosen consistently as possible as it can.