Comparative analysis of upper gastrointestinal endoscopy, double-contrast upper gastrointestinal barium X-ray radiography, and the titer of serum anti-Helicobacter pylori IgG focusing on the diagnosis of atrophic gastritis

Background Upper gastrointestinal endoscopy (UGI-ES) and double-contrast upper gastrointestinal barium X-ray radiography (UGI-XR) are two major image-based methods to diagnose atrophic gastritis, which is mostly induced by Helicobacter pylori infection. However, there have been few studies directly...

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Veröffentlicht in:Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association 2016-04, Vol.19 (2), p.670-675
Hauptverfasser: Yamamichi, Nobutake, Hirano, Chigaya, Takahashi, Yu, Minatsuki, Chihiro, Nakayama, Chiemi, Matsuda, Rie, Shimamoto, Takeshi, Takeuchi, Chihiro, Kodashima, Shinya, Ono, Satoshi, Tsuji, Yosuke, Fujishiro, Mitsuhiro, Wada, Ryoichi, Mitsushima, Toru, Koike, Kazuhiko
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container_title Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association
container_volume 19
creator Yamamichi, Nobutake
Hirano, Chigaya
Takahashi, Yu
Minatsuki, Chihiro
Nakayama, Chiemi
Matsuda, Rie
Shimamoto, Takeshi
Takeuchi, Chihiro
Kodashima, Shinya
Ono, Satoshi
Tsuji, Yosuke
Fujishiro, Mitsuhiro
Wada, Ryoichi
Mitsushima, Toru
Koike, Kazuhiko
description Background Upper gastrointestinal endoscopy (UGI-ES) and double-contrast upper gastrointestinal barium X-ray radiography (UGI-XR) are two major image-based methods to diagnose atrophic gastritis, which is mostly induced by Helicobacter pylori infection. However, there have been few studies directly comparing them. Methods Atrophic gastritis was evaluated using the data of 962 healthy subjects who underwent UGI-ES and UGI-XR within 1 year. Results and conclusion Based on UGI-ES and UGI-XR, 602 subjects did not have atrophic gastritis and 254 subjects did have it. Considering UGI-ES-based atrophic gastritis as the standard, sensitivity and specificity of UGI-XR-based atrophic gastritis were 92.0 % (254/276) and 92.8 % (602/649), respectively. The seven-grade Kimura–Takemoto classification of UGI-ES-based atrophic gastritis showed a strong and significant association with the four-grade UGI-XR-based atrophic gastritis. Sensitivity and specificity of serum anti- Helicobacter pylori IgG to detect UGI-ES/UGI-XR-based atrophic gastritis were 89.4 % (227/254) and 99.8 % (601/602), indicating that atrophic gastritis can be overlooked according to serum anti- Helicobacter pylori IgG alone.
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However, there have been few studies directly comparing them. Methods Atrophic gastritis was evaluated using the data of 962 healthy subjects who underwent UGI-ES and UGI-XR within 1 year. Results and conclusion Based on UGI-ES and UGI-XR, 602 subjects did not have atrophic gastritis and 254 subjects did have it. Considering UGI-ES-based atrophic gastritis as the standard, sensitivity and specificity of UGI-XR-based atrophic gastritis were 92.0 % (254/276) and 92.8 % (602/649), respectively. The seven-grade Kimura–Takemoto classification of UGI-ES-based atrophic gastritis showed a strong and significant association with the four-grade UGI-XR-based atrophic gastritis. 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However, there have been few studies directly comparing them. Methods Atrophic gastritis was evaluated using the data of 962 healthy subjects who underwent UGI-ES and UGI-XR within 1 year. Results and conclusion Based on UGI-ES and UGI-XR, 602 subjects did not have atrophic gastritis and 254 subjects did have it. Considering UGI-ES-based atrophic gastritis as the standard, sensitivity and specificity of UGI-XR-based atrophic gastritis were 92.0 % (254/276) and 92.8 % (602/649), respectively. The seven-grade Kimura–Takemoto classification of UGI-ES-based atrophic gastritis showed a strong and significant association with the four-grade UGI-XR-based atrophic gastritis. Sensitivity and specificity of serum anti- Helicobacter pylori IgG to detect UGI-ES/UGI-XR-based atrophic gastritis were 89.4 % (227/254) and 99.8 % (601/602), indicating that atrophic gastritis can be overlooked according to serum anti- Helicobacter pylori IgG alone.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>26223472</pmid><doi>10.1007/s10120-015-0515-y</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Abdominal Surgery
Adult
Aged
Barium
Cancer Research
Contrast Media
Diagnostic Uses of Chemicals
Endoscopy, Gastrointestinal - methods
Gastric cancer
Gastritis, Atrophic - diagnostic imaging
Gastritis, Atrophic - immunology
Gastritis, Atrophic - microbiology
Gastroenterology
Gastrointestinal Tract - diagnostic imaging
Helicobacter Infections - blood
Helicobacter Infections - complications
Helicobacter pylori - immunology
Humans
Immunoglobulin G - blood
Male
Medicine
Medicine & Public Health
Middle Aged
Oncology
Radiography, Abdominal - methods
Sensitivity and Specificity
Short Communication
Surgical Oncology
X-Rays
Young Adult
title Comparative analysis of upper gastrointestinal endoscopy, double-contrast upper gastrointestinal barium X-ray radiography, and the titer of serum anti-Helicobacter pylori IgG focusing on the diagnosis of atrophic gastritis
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