TY - JOUR T1 - GAstroscopic observations in pernicious anemia AU - SCHINDLER R, SERBY AM Y1 - 1939/02/01 N1 - 10.1001/archinte.1939.00180190136009 JO - Archives of Internal Medicine SP - 334 EP - 355 VL - 63 IS - 2 N2 - The close relation between pernicious anemia and changes in the mucosa of the stomach has been well recognized since the time of Austin Flint1 and Hayem.2 A brilliant synopsis of all the questions involved has been given by Minot.3 Friedenwald and Morrison4 stated as early as 1919 that practically no patient with pernicious anemia is free from gastrointestinal symptoms. Anatomically there was early general agreement (Faber and Bloch5) that the gastric mucosa was thinned or degenerated, that these changes were most pronounced in the cardiac region and that they diminished toward the pylorus. In later times this anatomic concept changed. Cases were described in which the wall of the pyloric region was tremendously thickened by inflammation of the deeper layers, especially of the muscularis propria (Kleemann6), and even by the formation of inflammatory polyps—gastritis hypertrophicans polyposa—in the pyloric region (Mayeda7). In 1934 M. R. Brown,8 in a report on SN - 0730-188X M3 - doi: 10.1001/archinte.1939.00180190136009 UR - http://dx.doi.org/10.1001/archinte.1939.00180190136009 ER -