Prediction of Helicobacter pylori Infection by Endoscopic Severity of Erythematous/exudative Gastritis in Asymptomatic Adults
Background/Aims: Helicobacter pylori (H. pylori) infection highly correlates with erythematous/exudative gastritis, which is one of the endoscopic findings of the Sydney classification system. The present study aimed to evaluate the association between endoscopic severity of erythematous/exudative gastritis and H. pylori infection.
Methods: We prospectively enrolled asymptomatic adults who were diagnosed with erythematous/exudative gastritis during screening esophagogastroduodenoscopy. A rapid urease test was performed in all participants to diagnose H. pylori infection. The severity of erythematous/exudative gastritis was determined based on the Sydney classification system. Two investigators independently evaluated the endoscopic findings. The primary endpoint was H. pylori infection rate according to the severity of erythematous/exudative gastritis (mild vs. moderate-to-severe).
Results: A total of 177 patients with erythematous/exudative gastritis were included. The rate of H. pylori infection was 86.4% in all patients. Of 177 included patients, 78 were at mild degree, 48 were at moderate degree, and 51 were at severe degree. The inter-observer variation was 4.6% and kappa value was 0.593. H. pylori infection rate was similar between patients with mild erythematous/exudative gastritis and those with moderate-to-severe erythematous/exudative gastritis (91.0% vs. 82.8%, p=0.115). Even after adjusting potential confounding variables, the severity of erythematous/exudative gastritis was not associated with H. pylori infection rate.
Conclusions: H. pylori infection is commonly observed in patients with erythematous/exudative gastritis. However, the severity of erythematous/exudative gastritis is not associated with H. pylori infection rate.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:80 |
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| Enthalten in: |
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi - 80(2022), 3 vom: 25. Sept., Seite 135-141 |
| Sprache: |
Koreanisch |
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| Beteiligte Personen: |
Kim, One Zoong [VerfasserIn] |
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| Links: |
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| Themen: |
EC 3.5.1.5 |
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| Anmerkungen: |
Date Completed 28.09.2022 Date Revised 03.10.2022 published: Print Citation Status MEDLINE |
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| doi: |
10.4166/kjg.2022.042 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM346722934 |
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| 245 | 1 | 0 | |a Prediction of Helicobacter pylori Infection by Endoscopic Severity of Erythematous/exudative Gastritis in Asymptomatic Adults |
| 264 | 1 | |c 2022 | |
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| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Background/Aims: Helicobacter pylori (H. pylori) infection highly correlates with erythematous/exudative gastritis, which is one of the endoscopic findings of the Sydney classification system. The present study aimed to evaluate the association between endoscopic severity of erythematous/exudative gastritis and H. pylori infection | ||
| 520 | |a Methods: We prospectively enrolled asymptomatic adults who were diagnosed with erythematous/exudative gastritis during screening esophagogastroduodenoscopy. A rapid urease test was performed in all participants to diagnose H. pylori infection. The severity of erythematous/exudative gastritis was determined based on the Sydney classification system. Two investigators independently evaluated the endoscopic findings. The primary endpoint was H. pylori infection rate according to the severity of erythematous/exudative gastritis (mild vs. moderate-to-severe) | ||
| 520 | |a Results: A total of 177 patients with erythematous/exudative gastritis were included. The rate of H. pylori infection was 86.4% in all patients. Of 177 included patients, 78 were at mild degree, 48 were at moderate degree, and 51 were at severe degree. The inter-observer variation was 4.6% and kappa value was 0.593. H. pylori infection rate was similar between patients with mild erythematous/exudative gastritis and those with moderate-to-severe erythematous/exudative gastritis (91.0% vs. 82.8%, p=0.115). Even after adjusting potential confounding variables, the severity of erythematous/exudative gastritis was not associated with H. pylori infection rate | ||
| 520 | |a Conclusions: H. pylori infection is commonly observed in patients with erythematous/exudative gastritis. However, the severity of erythematous/exudative gastritis is not associated with H. pylori infection rate | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Erythematous/exudative gastritis | |
| 650 | 4 | |a Helicobacter pylori | |
| 650 | 4 | |a Sydney classification system | |
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| 650 | 7 | |a EC 3.5.1.5 |2 NLM | |
| 700 | 1 | |a Rhee, Kyoung Hoon |e verfasserin |4 aut | |
| 700 | 1 | |a Oh, Hyunwoo |e verfasserin |4 aut | |
| 700 | 1 | |a Son, Byoung Kwan |e verfasserin |4 aut | |
| 700 | 1 | |a Chung, Kwang Hyun |e verfasserin |4 aut | |
| 700 | 1 | |a Lee, Hyo Young |e verfasserin |4 aut | |
| 700 | 1 | |a Oh, Il Hwan |e verfasserin |4 aut | |
| 700 | 1 | |a Yoon, Jiyoung |e verfasserin |4 aut | |
| 700 | 1 | |a Kim, Soo Hyung |e verfasserin |4 aut | |
| 700 | 1 | |a Park, Chan Hyuk |e verfasserin |4 aut | |
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