Predictive value of risk score using Kyoto classification of gastritis a few years prior to diagnosis of early gastric cancer
| Autor: | Tomoyuki Kitagawa, Masaya Tamano, Yoshinori Gyotoku, Ikuhiro Kobori, Yo Fujimoto, Yasumi Katayama, Ryosuke Oura |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
RC799-869 Kyoto classification Gastroenterology 03 medical and health sciences 0302 clinical medicine Atrophy Internal medicine medicine endoscopy Framingham Risk Score Helicobacter pylori Hepatology biology business.industry gastric cancer gastritis Intestinal metaplasia Cancer Retrospective cohort study Original Articles Diseases of the digestive system. Gastroenterology medicine.disease biology.organism_classification Early Gastric Cancer 030220 oncology & carcinogenesis Original Article 030211 gastroenterology & hepatology Gastritis medicine.symptom business |
| Zdroj: | JGH Open, Vol 5, Iss 2, Pp 280-285 (2021) JGH Open: An Open Access Journal of Gastroenterology and Hepatology |
| ISSN: | 2397-9070 |
| DOI: | 10.1002/jgh3.12485 |
| Popis: | Background and Aim Based on past diagnostic classifications of gastritis, the Kyoto classification of gastritis adopts simpler, more objective gastritis findings according to Helicobacter pylori infection status and evaluates the risk of gastric cancer. To clarify whether this score can predict future gastric cancer, we retrospectively examined risk scores obtained using the Kyoto classification of gastritis a few years prior to the diagnosis of early gastric cancer. Methods We reviewed data from 50 individuals who had undergone upper gastrointestinal endoscopy 2–3 years prior to the diagnosis of early gastric cancer in our hospital. Two expert endoscopists evaluated and compared risk scores obtained using the Kyoto classification of gastritis between cancer and control groups. Results With regard to the risk score obtained using the Kyoto classification of gastritis in all cases, atrophy, intestinal metaplasia, diffuse redness, and total score were significantly higher among gastric cancer cases. Among H. pylori‐eradicated cases, atrophy score was higher in the gastric cancer group. Among patients for whom H. pylori had been eradicated for >3 years at first endoscopy, atrophy score was still higher in the gastric cancer group. Conclusion This retrospective study suggested that the risk score obtained using the Kyoto classification of gastritis was useful for predicting the onset of gastric cancer. In particular, patients with a high atrophy score even after H. pylori eradication may be at high risk of developing gastric cancer. This retrospective study suggested that the risk score obtained using the Kyoto classification of gastritis was useful for predicting the onset of gastric cancer. In particular, patients with a high atrophy score even after H. pylori eradication may be at high risk of developing gastric cancer. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text