Stomach
Other non-neoplastic lesions
Proton pump inhibitors

Author: Elliot Weisenberg, M.D. (see Authors page)

Revised: 29 November 2016, last major update August 2012

Copyright: (c) 2003-2016, PathologyOutlines.com, Inc.

PubMed Search: proton pump inhibitors[title]
Cite this page: Proton pump inhibitors. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/stomachPPI.html. Accessed December 2nd, 2016.
Definition / General
  • Includes omeprazole, lansoprazole, dexlansoprazole, esomeprazole, rabeprazole
  • Used to treat gastroesophageal reflux disease (GERD)
  • Patients may develop G-cell and enterochromaffin cell-like hyperplasia, secondary to drug-induced achlorhydria
  • Long-term therapy associated with fundic gland polyps (sessile, multiple, < 1.0 cm) in 17% after 3 months, in 35% after 5 months treatment
  • Polyps regress when treatment stops (Hum Pathol 2000;31:684)
Micro Description
  • Glandular luminal dilatation with swelling and bulging of the superficial cytoplasm of parietal cells (so-called parietal cell protrusion)
  • Glands lined by cells with serrated rather than a smooth border
Micro Images

Images hosted on other servers:

Gastric corpus glands post-proton pump inhibitors;
lumina are dilated, parietal cells show serrated surface contour