Gastric polyps diagnosed by double-contrast upper gastrointestinal barium X-ray radiography mostly arise from the Helicobacter pylori-negative stomach with low risk of gastric cancer in Japan

Background Double-contrast upper gastrointestinal barium X-ray radiography (UGI-XR) is a method broadly used for gastric cancer screening in Japan. Gastric polyp is one of the most frequent findings detected by UGI-XR, but how to handle it remains controversial. Methods Gastric polyps of the 17,264...

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Veröffentlicht in:Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association 2017-03, Vol.20 (2), p.314-321
Hauptverfasser: Takeuchi, Chihiro, Yamamichi, Nobutake, Shimamoto, Takeshi, Takahashi, Yu, 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
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creator Takeuchi, Chihiro
Yamamichi, Nobutake
Shimamoto, Takeshi
Takahashi, Yu
Mitsushima, Toru
Koike, Kazuhiko
description Background Double-contrast upper gastrointestinal barium X-ray radiography (UGI-XR) is a method broadly used for gastric cancer screening in Japan. Gastric polyp is one of the most frequent findings detected by UGI-XR, but how to handle it remains controversial. Methods Gastric polyps of the 17,264 generally healthy subjects in Japan who underwent UGI-XR or upper gastrointestinal endoscopy (UGI-ES) in 2010 were analyzed. Results Of the 6,433 UGI-XR examinees (3,405 men and 3,028 women, 47.4 ± 9.0 years old), gastric polyps were detected in 464 men (13.6 %) and 733 women (24.2 %) and were predominantly developed on the non-atrophic gastric mucosa ( p  
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Gastric polyp is one of the most frequent findings detected by UGI-XR, but how to handle it remains controversial. Methods Gastric polyps of the 17,264 generally healthy subjects in Japan who underwent UGI-XR or upper gastrointestinal endoscopy (UGI-ES) in 2010 were analyzed. Results Of the 6,433 UGI-XR examinees (3,405 men and 3,028 women, 47.4 ± 9.0 years old), gastric polyps were detected in 464 men (13.6 %) and 733 women (24.2 %) and were predominantly developed on the non-atrophic gastric mucosa ( p  &lt; 0.0001). Multiple logistic regression analysis showed that the presence of gastric polyps has significant association with lower value of serum anti- Helicobacter pylori IgG titer, female gender, lighter smoking habit, older age, and normal range of body mass index ( ≥ 18.5 and &lt;25), but not with drinking or serum pepsinogen I/II ratio. During the 3-year follow-up, gastric cancer occurred in 7 subjects (0.11 %), but none of them had gastric polyps at the beginning of the follow-up period. Of the 2,722 subjects with gastric polyps among the 10,831 UGI-ES examinees in the same period, 2,446 (89.9 %) had fundic, 267 (9.8 %) had hyperplastic, and 9 (0.3 %) had adenomatous/cancerous polyps. Conclusions Gastric polyps diagnosed by UGI-XR predominantly arise on the Helicobacter pylori -negative gastric mucosa with a low risk of gastric cancer in Japan. In the prospective observation, none of the UGI-XR examinees with gastric polyps developed gastric cancer for at least 3 years subsequently.</description><identifier>ISSN: 1436-3291</identifier><identifier>EISSN: 1436-3305</identifier><identifier>DOI: 10.1007/s10120-016-0607-3</identifier><identifier>PMID: 26972573</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Abdominal Surgery ; Adenomatous Polyps - diagnosis ; Adenomatous Polyps - diagnostic imaging ; Adenomatous Polyps - microbiology ; Adult ; Aged ; Barium - metabolism ; Cancer Research ; Female ; Follow-Up Studies ; Gastric cancer ; Gastric Mucosa - diagnostic imaging ; Gastric Mucosa - microbiology ; Gastric Mucosa - pathology ; Gastroenterology ; Gastrointestinal Tract - diagnostic imaging ; Helicobacter ; Helicobacter Infections - complications ; Helicobacter Infections - diagnostic imaging ; Helicobacter Infections - microbiology ; Helicobacter pylori - pathogenicity ; Humans ; Hyperplasia - diagnosis ; Hyperplasia - diagnostic imaging ; Hyperplasia - microbiology ; Japan ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neoplasm Staging ; Oncology ; Original Article ; Prognosis ; Prospective Studies ; Radiography, Abdominal - methods ; Stomach Neoplasms - diagnosis ; Stomach Neoplasms - diagnostic imaging ; Stomach Neoplasms - drug therapy ; Stomach Neoplasms - microbiology ; Stomach Neoplasms - pathology ; Surgical Oncology ; X-Rays</subject><ispartof>Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2017-03, Vol.20 (2), p.314-321</ispartof><rights>The International Gastric Cancer Association and The Japanese Gastric Cancer Association 2016</rights><rights>Gastric Cancer is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c472t-ccfef5f6b4fd4fda2f0d0ddc7d269caeed1486a5252b7b8e3c6e80e19f309f9b3</citedby><cites>FETCH-LOGICAL-c472t-ccfef5f6b4fd4fda2f0d0ddc7d269caeed1486a5252b7b8e3c6e80e19f309f9b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10120-016-0607-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10120-016-0607-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26972573$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takeuchi, Chihiro</creatorcontrib><creatorcontrib>Yamamichi, Nobutake</creatorcontrib><creatorcontrib>Shimamoto, Takeshi</creatorcontrib><creatorcontrib>Takahashi, Yu</creatorcontrib><creatorcontrib>Mitsushima, Toru</creatorcontrib><creatorcontrib>Koike, Kazuhiko</creatorcontrib><title>Gastric polyps diagnosed by double-contrast upper gastrointestinal barium X-ray radiography mostly arise from the Helicobacter pylori-negative stomach with low risk of gastric cancer in Japan</title><title>Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association</title><addtitle>Gastric Cancer</addtitle><addtitle>Gastric Cancer</addtitle><description>Background Double-contrast upper gastrointestinal barium X-ray radiography (UGI-XR) is a method broadly used for gastric cancer screening in Japan. Gastric polyp is one of the most frequent findings detected by UGI-XR, but how to handle it remains controversial. Methods Gastric polyps of the 17,264 generally healthy subjects in Japan who underwent UGI-XR or upper gastrointestinal endoscopy (UGI-ES) in 2010 were analyzed. Results Of the 6,433 UGI-XR examinees (3,405 men and 3,028 women, 47.4 ± 9.0 years old), gastric polyps were detected in 464 men (13.6 %) and 733 women (24.2 %) and were predominantly developed on the non-atrophic gastric mucosa ( p  &lt; 0.0001). Multiple logistic regression analysis showed that the presence of gastric polyps has significant association with lower value of serum anti- Helicobacter pylori IgG titer, female gender, lighter smoking habit, older age, and normal range of body mass index ( ≥ 18.5 and &lt;25), but not with drinking or serum pepsinogen I/II ratio. During the 3-year follow-up, gastric cancer occurred in 7 subjects (0.11 %), but none of them had gastric polyps at the beginning of the follow-up period. Of the 2,722 subjects with gastric polyps among the 10,831 UGI-ES examinees in the same period, 2,446 (89.9 %) had fundic, 267 (9.8 %) had hyperplastic, and 9 (0.3 %) had adenomatous/cancerous polyps. Conclusions Gastric polyps diagnosed by UGI-XR predominantly arise on the Helicobacter pylori -negative gastric mucosa with a low risk of gastric cancer in Japan. In the prospective observation, none of the UGI-XR examinees with gastric polyps developed gastric cancer for at least 3 years subsequently.</description><subject>Abdominal Surgery</subject><subject>Adenomatous Polyps - diagnosis</subject><subject>Adenomatous Polyps - diagnostic imaging</subject><subject>Adenomatous Polyps - microbiology</subject><subject>Adult</subject><subject>Aged</subject><subject>Barium - metabolism</subject><subject>Cancer Research</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastric cancer</subject><subject>Gastric Mucosa - diagnostic imaging</subject><subject>Gastric Mucosa - microbiology</subject><subject>Gastric Mucosa - pathology</subject><subject>Gastroenterology</subject><subject>Gastrointestinal Tract - diagnostic imaging</subject><subject>Helicobacter</subject><subject>Helicobacter Infections - complications</subject><subject>Helicobacter Infections - diagnostic imaging</subject><subject>Helicobacter Infections - microbiology</subject><subject>Helicobacter pylori - pathogenicity</subject><subject>Humans</subject><subject>Hyperplasia - diagnosis</subject><subject>Hyperplasia - diagnostic imaging</subject><subject>Hyperplasia - microbiology</subject><subject>Japan</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; 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Public Health</topic><topic>Middle Aged</topic><topic>Neoplasm Staging</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Radiography, Abdominal - methods</topic><topic>Stomach Neoplasms - diagnosis</topic><topic>Stomach Neoplasms - diagnostic imaging</topic><topic>Stomach Neoplasms - drug therapy</topic><topic>Stomach Neoplasms - microbiology</topic><topic>Stomach Neoplasms - pathology</topic><topic>Surgical Oncology</topic><topic>X-Rays</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takeuchi, Chihiro</creatorcontrib><creatorcontrib>Yamamichi, Nobutake</creatorcontrib><creatorcontrib>Shimamoto, Takeshi</creatorcontrib><creatorcontrib>Takahashi, Yu</creatorcontrib><creatorcontrib>Mitsushima, Toru</creatorcontrib><creatorcontrib>Koike, Kazuhiko</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>ProQuest Health &amp; 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Gastric polyp is one of the most frequent findings detected by UGI-XR, but how to handle it remains controversial. Methods Gastric polyps of the 17,264 generally healthy subjects in Japan who underwent UGI-XR or upper gastrointestinal endoscopy (UGI-ES) in 2010 were analyzed. Results Of the 6,433 UGI-XR examinees (3,405 men and 3,028 women, 47.4 ± 9.0 years old), gastric polyps were detected in 464 men (13.6 %) and 733 women (24.2 %) and were predominantly developed on the non-atrophic gastric mucosa ( p  &lt; 0.0001). Multiple logistic regression analysis showed that the presence of gastric polyps has significant association with lower value of serum anti- Helicobacter pylori IgG titer, female gender, lighter smoking habit, older age, and normal range of body mass index ( ≥ 18.5 and &lt;25), but not with drinking or serum pepsinogen I/II ratio. During the 3-year follow-up, gastric cancer occurred in 7 subjects (0.11 %), but none of them had gastric polyps at the beginning of the follow-up period. Of the 2,722 subjects with gastric polyps among the 10,831 UGI-ES examinees in the same period, 2,446 (89.9 %) had fundic, 267 (9.8 %) had hyperplastic, and 9 (0.3 %) had adenomatous/cancerous polyps. Conclusions Gastric polyps diagnosed by UGI-XR predominantly arise on the Helicobacter pylori -negative gastric mucosa with a low risk of gastric cancer in Japan. In the prospective observation, none of the UGI-XR examinees with gastric polyps developed gastric cancer for at least 3 years subsequently.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>26972573</pmid><doi>10.1007/s10120-016-0607-3</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Abdominal Surgery
Adenomatous Polyps - diagnosis
Adenomatous Polyps - diagnostic imaging
Adenomatous Polyps - microbiology
Adult
Aged
Barium - metabolism
Cancer Research
Female
Follow-Up Studies
Gastric cancer
Gastric Mucosa - diagnostic imaging
Gastric Mucosa - microbiology
Gastric Mucosa - pathology
Gastroenterology
Gastrointestinal Tract - diagnostic imaging
Helicobacter
Helicobacter Infections - complications
Helicobacter Infections - diagnostic imaging
Helicobacter Infections - microbiology
Helicobacter pylori - pathogenicity
Humans
Hyperplasia - diagnosis
Hyperplasia - diagnostic imaging
Hyperplasia - microbiology
Japan
Male
Medicine
Medicine & Public Health
Middle Aged
Neoplasm Staging
Oncology
Original Article
Prognosis
Prospective Studies
Radiography, Abdominal - methods
Stomach Neoplasms - diagnosis
Stomach Neoplasms - diagnostic imaging
Stomach Neoplasms - drug therapy
Stomach Neoplasms - microbiology
Stomach Neoplasms - pathology
Surgical Oncology
X-Rays
title Gastric polyps diagnosed by double-contrast upper gastrointestinal barium X-ray radiography mostly arise from the Helicobacter pylori-negative stomach with low risk of gastric cancer in Japan
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