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A 54-year-old man underwent gastroscopy (endoscopy of the upper digestive tract)...

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A 54-year-old man underwent gastroscopy

(endoscopy of the upper digestive tract) for non-specific digestive disorders.

The oesophagus and stomach appear macroscopically fine, but changes are only

visible in the duodenum, where several samples are therefore taken for

histological examination. The final diagnosis is peptic duodenitis,

inflammation of the duodenum, which is a precursor to the development of the

ulcer. This inflammation is usually caused by the

Helicobacter pylori infection

in the stomach and

increased production of HCl in the stomach, which is also increased in the

duodenum. Among the features that can be observed histologically in this

inflammation is hyperplasia (enlargement) of the Brunner's glands of the

duodenum. What type of gland is this?

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