무증상 성인에서 발견된 발적성/삼출성 위염의 중증도를 기반으로 한 헬리코박터 파일로리 감염의 예측open accessPrediction of Helicobacter pylori Infection by Endoscopic Severity of Erythematous/exudative Gastritis in Asymptomatic Adults
- Other Titles
- Prediction of Helicobacter pylori Infection by Endoscopic Severity of Erythematous/exudative Gastritis in Asymptomatic Adults
- Authors
- 김원중; 이경훈; 오현우; 손병관; 정광현; 이효영; 오일환; 윤지영; 김수형; 박찬혁
- Issue Date
- Sep-2022
- Publisher
- Korean Soc Gastroenterology(대한소화기학회)
- Keywords
- Helicobacter pylori; Erythematous/exudative gastritis; Sydney classification system
- Citation
- KOREAN JOURNAL OF GASTROENTEROLOGY(대한소화기학회지), v.80, no.3, pp.135 - 141
- Indexed
- SCOPUS
KCI
- Journal Title
- KOREAN JOURNAL OF GASTROENTEROLOGY(대한소화기학회지)
- Volume
- 80
- Number
- 3
- Start Page
- 135
- End Page
- 141
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/173116
- DOI
- 10.4166/kjg.2022.042
- ISSN
- 1598-9992
- Abstract
- 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.
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