지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 362 - 367 (6page)
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초록· 키워드
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Background/Aims: This study examined the accuracy of endoscopic evaluation for determining the Helicobacter pylori infection statusin patients with mild atrophy who might not exhibit characteristic endoscopic findings. Methods: Forty endoscopists determined the H. pylori infection status of 50 randomly presented H. pylori-positive and H. pylorinegativecases on the basis of a list of established findings. Results: The median clinical endoscopy experience was 7 years (range, 1–35 years), including 22 board-certified endoscopists (55%) of theJapan Gastroenterological Endoscopy Society. The mean accuracy rate of endoscopic diagnosis was 67% and was unrelated to experiencestatus (experienced vs. trainee: 69% vs. 65%, p=0.089) and total years of experience (R2=0.022). The most frequently selected endoscopicfindings were regular arrangement of collecting venules (59%), atrophy (45%), and red streak (22%), which had fair accuracy rates of67%, 65%, and 73%, respectively. By contrast, the accuracy rates of nodularity (89%) and mucosal swelling (77%) were highest. The 20endoscopists who more frequently identified these findings diagnosed H. pylori infection significantly more accurately than did the otherendoscopists (71% vs. 64%, p=0.008). Conclusions: Careful attention to nodularity and mucosal swelling in patients with mild atrophy may enhance diagnosis, enable prompttreatment, and avoid possible long-term carcinogenesis.
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참고문헌 (18)
참고문헌 신청
Uemura N / 2001 / Helicobacter pylori infection and the development of gastric cancer / N Engl J Med 345:784~789
Fukase K / 2008 / Effect of eradication of Helicobacter pylori on incidence of metachronous gastric carcinoma after endoscopic resection of early gastric cancer: an open-label, randomised controlled trial / Lancet 372:392~397
Asaka M / 2013 / A new approach for elimination of gastric cancer deaths in Japan / Int J Cancer 132:1272~1276
Masuyama H / 2015 / Relationship between the degree of endoscopic atrophy of the gastric mucosa and carcinogenic risk / Digestion 91:30~36
Wong BC / 2004 / Helicobacter pylori eradication to prevent gastric cancer in a high-risk region of China: a randomized controlled trial / JAMA 291:187~194
Fukase K / 2008 / Effect of eradication of Helicobacter pylori on incidence of metachronous gastric carcinoma after endoscopic resection of early gastric cancer: an open-label, randomised controlled trial / Lancet 372:392~397
Asaka M / 2013 / A new approach for elimination of gastric cancer deaths in Japan / Int J Cancer 132:1272~1276
Masuyama H / 2015 / Relationship between the degree of endoscopic atrophy of the gastric mucosa and carcinogenic risk / Digestion 91:30~36
Wong BC / 2004 / Helicobacter pylori eradication to prevent gastric cancer in a high-risk region of China: a randomized controlled trial / JAMA 291:187~194
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