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Surveillance strategy of atrophic gastritis and intestinal metaplasia in a country with a high prevalence of gastric cancer

Title
Surveillance strategy of atrophic gastritis and intestinal metaplasia in a country with a high prevalence of gastric cancer
Authors
Shin W.G.Kim H.U.Song H.J.Hong S.J.Shim K.-N.Sung I.-K.Kim J.G.
Ewha Authors
심기남
SCOPUS Author ID
심기남scopus
Issue Date
2012
Journal Title
Digestive Diseases and Sciences
ISSN
0163-2116JCR Link
Citation
vol. 57, no. 3, pp. 746 - 752
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
Background It is not clear which screening examinations are best suited for gastric cancer prevention, especially in patients with atrophic gastritis and intestinal metaplasia. Therefore, we investigated the gastric cancer screening methods and intervals that are performed in clinical practice in an area with a high prevalence of gastric cancer. Methods Eighty-seven physicians voted by keypad and discussed the consistency of endoscopic diagnosis of atrophic gastritis and intestinal metaplasia at the Annual Symposium of the Korean College of Helicobacter and Upper Gastrointestinal Research. Additionally, 100 core members of this academic society were asked via e-mail to complete the questionnaires related to screening strategies for gastric cancer. Results The most common recommendation for the subjects with intestinal metaplasia was an annual endoscopic follow-up (95.5% vs. 80.4% in the expert and non-expert groups, respectively; P = 0.118). Annual endoscopic follow- up was also the most predominant recommendation for atrophic gastritis (95.5% vs. 76.5%; P = 0.092), regardless of the physicians' endoscopic experience, position, and degree of the hospital. However, the correct answer rate for the diagnosis of normal endoscopic findings was only 16.7 and 14.1% in the expert and non-expert groups, respectively (P = 0.883). Conclusions The most common practical screening strategy for patients with atrophic gastritis and intestinal metaplasia in Korea was annual endoscopic examination. However, a new program estimating individualized gastric cancer risk might be needed because of the low interobserver agreement in the endoscopic diagnosis of atrophic gastritis and intestinal metaplasia. © Springer Science+Business Media, LLC 2011.
DOI
10.1007/s10620-011-1919-0
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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