Prevalence and time trend of intestinal metaplasia in Hong Kong
Background and Methods: Upper endoscopy records from 1998 to 2003 were reviewed. The demographic data, endoscopic diagnosis, results of rapid urease test and the absence or presence of intestinal metaplasia (IM) in histology were reviewed, to evaluate the prevalence of IM and Helicobacter pylori (H...
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| Veröffentlicht in: | Journal of gastroenterology and hepatology 2009-05, Vol.24 (5), p.896-899 |
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| creator | Yee, Yuk Kei Wong, Ka Wah Hui, Chee Kin Chan, Chi Kuen Chan, Annie O O Lam, Shiu Kam Fung, Fiona M Y Hung, Ivan Wong, Benjamin C Y |
| description | Background and Methods: Upper endoscopy records from 1998 to 2003 were reviewed. The demographic data, endoscopic diagnosis, results of rapid urease test and the absence or presence of intestinal metaplasia (IM) in histology were reviewed, to evaluate the prevalence of IM and Helicobacter pylori (Hp) infection over time in Hong Kong.
Results: Among 1805 endoscopies performed, 1751 had both rapid urease test and histology available. A significant drop in the prevalence of duodenal ulcers from 17.9% in 1998 to 9.8% in 2003 was found (P = 0.015). Prevalence of IM was 13.9%, 5.9% and 9.4% in Hp positive, Hp negative and overall respectively (P |
| doi_str_mv | 10.1111/j.1440-1746.2009.05799.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67550468</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>21358617</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4669-e659503f986f1775c41e806ff58e0f1af62e849a1624bf49f3e3f85e9cae73a53</originalsourceid><addsrcrecordid>eNqNkEtvEzEURq0K1KalfwHNpuxm8B2_FxVChSbQAl1QtTvLnV4jh3kEewLpv8dDorAEL-wr-3z29SGkAFpBHq-XFXBOS1BcVjWlpqJCGVNtDshsf_CMzKgGURoG5ogcp7SklHKqxCE5AiO5pKBn5M1NxJ-uxb7BwvWPxRg6LMaIuRx8EfoR0xh61xYdjm7VuhRc3i0WQ_-tuMrTC_Lcuzbh6W49IbeX779eLMrrL_MPF2-vy4ZLaUqUwgjKvNHSg1Ki4YCaSu-FRurBeVmj5saBrPmD58YzZF4LNI1DxZxgJ-TV9t5VHH6sc1O2C6nBtnU9DutkpRKCcqn_CdbAhJagMqi3YBOHlCJ6u4qhc_HJArWTZbu0k0w7ybSTZfvHst3k6MvdG-uHDh__BndaM3C2A1xqXOuj65uQ9lwNXDHFp1-db7lfocWn_27Afpwvpirny20-pBE3-7yL37MQpoS9-zy3N_fA3l0ttP3EfgMt-aW4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>21358617</pqid></control><display><type>article</type><title>Prevalence and time trend of intestinal metaplasia in Hong Kong</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Yee, Yuk Kei ; Wong, Ka Wah ; Hui, Chee Kin ; Chan, Chi Kuen ; Chan, Annie O O ; Lam, Shiu Kam ; Fung, Fiona M Y ; Hung, Ivan ; Wong, Benjamin C Y</creator><creatorcontrib>Yee, Yuk Kei ; Wong, Ka Wah ; Hui, Chee Kin ; Chan, Chi Kuen ; Chan, Annie O O ; Lam, Shiu Kam ; Fung, Fiona M Y ; Hung, Ivan ; Wong, Benjamin C Y</creatorcontrib><description>Background and Methods: Upper endoscopy records from 1998 to 2003 were reviewed. The demographic data, endoscopic diagnosis, results of rapid urease test and the absence or presence of intestinal metaplasia (IM) in histology were reviewed, to evaluate the prevalence of IM and Helicobacter pylori (Hp) infection over time in Hong Kong.
Results: Among 1805 endoscopies performed, 1751 had both rapid urease test and histology available. A significant drop in the prevalence of duodenal ulcers from 17.9% in 1998 to 9.8% in 2003 was found (P = 0.015). Prevalence of IM was 13.9%, 5.9% and 9.4% in Hp positive, Hp negative and overall respectively (P < 0.05). The prevalence of IM increased with age, and the patterns were similar amongst subjects in 1998–2000 and those in 2001–2003. There was progressive decrease in Hp prevalence from 58% in 1998 to 40% in 2001 (P = 0.014), but no further decrease was seen in 2002–3. There was no corresponding decrease in IM prevalence. Instead IM prevalence in 2002–2003 was significantly higher than the prevalence in previous few years (P = 0.04).
Conclusion: The prevalence of IM did not change in the period from 1998 to 2003 despite a drop in the prevalence of Hp infection since 1994.</description><identifier>ISSN: 0815-9319</identifier><identifier>EISSN: 1440-1746</identifier><identifier>DOI: 10.1111/j.1440-1746.2009.05799.x</identifier><identifier>PMID: 19646018</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adolescent ; Adult ; Age Distribution ; Age Factors ; Aged ; Aged, 80 and over ; Bacterial diseases ; Bacterial diseases of the digestive system and abdomen ; Biological and medical sciences ; Breath Tests ; Duodenal Ulcer - epidemiology ; Duodenal Ulcer - microbiology ; Duodenal Ulcer - pathology ; Endoscopy, Gastrointestinal ; Esophageal Neoplasms - epidemiology ; Esophageal Neoplasms - microbiology ; Esophageal Neoplasms - pathology ; Esophagoscopy ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Helicobacter Infections - epidemiology ; Helicobacter Infections - microbiology ; Helicobacter Infections - pathology ; Helicobacter pylori ; Helicobacter pylori - pathogenicity ; Hong Kong - epidemiology ; Human bacterial diseases ; Humans ; Infectious diseases ; intestinal metaplasia ; Male ; Medical sciences ; Metaplasia ; Middle Aged ; Other diseases. Semiology ; Precancerous Conditions - epidemiology ; Precancerous Conditions - microbiology ; Precancerous Conditions - pathology ; Prevalence ; Sex Distribution ; Sex Factors ; Stomach Neoplasms - epidemiology ; Stomach Neoplasms - microbiology ; Stomach Neoplasms - pathology ; Stomach Ulcer - epidemiology ; Stomach Ulcer - microbiology ; Stomach Ulcer - pathology ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Time Factors ; Time trend ; Young Adult</subject><ispartof>Journal of gastroenterology and hepatology, 2009-05, Vol.24 (5), p.896-899</ispartof><rights>2009 The Authors. Journal compilation © 2009 Journal of Gastroenterology and Hepatology Foundation and Blackwell Publishing Asia Pty Ltd</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4669-e659503f986f1775c41e806ff58e0f1af62e849a1624bf49f3e3f85e9cae73a53</citedby><cites>FETCH-LOGICAL-c4669-e659503f986f1775c41e806ff58e0f1af62e849a1624bf49f3e3f85e9cae73a53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1440-1746.2009.05799.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1440-1746.2009.05799.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21473745$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19646018$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yee, Yuk Kei</creatorcontrib><creatorcontrib>Wong, Ka Wah</creatorcontrib><creatorcontrib>Hui, Chee Kin</creatorcontrib><creatorcontrib>Chan, Chi Kuen</creatorcontrib><creatorcontrib>Chan, Annie O O</creatorcontrib><creatorcontrib>Lam, Shiu Kam</creatorcontrib><creatorcontrib>Fung, Fiona M Y</creatorcontrib><creatorcontrib>Hung, Ivan</creatorcontrib><creatorcontrib>Wong, Benjamin C Y</creatorcontrib><title>Prevalence and time trend of intestinal metaplasia in Hong Kong</title><title>Journal of gastroenterology and hepatology</title><addtitle>J Gastroenterol Hepatol</addtitle><description>Background and Methods: Upper endoscopy records from 1998 to 2003 were reviewed. The demographic data, endoscopic diagnosis, results of rapid urease test and the absence or presence of intestinal metaplasia (IM) in histology were reviewed, to evaluate the prevalence of IM and Helicobacter pylori (Hp) infection over time in Hong Kong.
Results: Among 1805 endoscopies performed, 1751 had both rapid urease test and histology available. A significant drop in the prevalence of duodenal ulcers from 17.9% in 1998 to 9.8% in 2003 was found (P = 0.015). Prevalence of IM was 13.9%, 5.9% and 9.4% in Hp positive, Hp negative and overall respectively (P < 0.05). The prevalence of IM increased with age, and the patterns were similar amongst subjects in 1998–2000 and those in 2001–2003. There was progressive decrease in Hp prevalence from 58% in 1998 to 40% in 2001 (P = 0.014), but no further decrease was seen in 2002–3. There was no corresponding decrease in IM prevalence. Instead IM prevalence in 2002–2003 was significantly higher than the prevalence in previous few years (P = 0.04).
Conclusion: The prevalence of IM did not change in the period from 1998 to 2003 despite a drop in the prevalence of Hp infection since 1994.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the digestive system and abdomen</subject><subject>Biological and medical sciences</subject><subject>Breath Tests</subject><subject>Duodenal Ulcer - epidemiology</subject><subject>Duodenal Ulcer - microbiology</subject><subject>Duodenal Ulcer - pathology</subject><subject>Endoscopy, Gastrointestinal</subject><subject>Esophageal Neoplasms - epidemiology</subject><subject>Esophageal Neoplasms - microbiology</subject><subject>Esophageal Neoplasms - pathology</subject><subject>Esophagoscopy</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Helicobacter Infections - epidemiology</subject><subject>Helicobacter Infections - microbiology</subject><subject>Helicobacter Infections - pathology</subject><subject>Helicobacter pylori</subject><subject>Helicobacter pylori - pathogenicity</subject><subject>Hong Kong - epidemiology</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>intestinal metaplasia</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metaplasia</subject><subject>Middle Aged</subject><subject>Other diseases. Semiology</subject><subject>Precancerous Conditions - epidemiology</subject><subject>Precancerous Conditions - microbiology</subject><subject>Precancerous Conditions - pathology</subject><subject>Prevalence</subject><subject>Sex Distribution</subject><subject>Sex Factors</subject><subject>Stomach Neoplasms - epidemiology</subject><subject>Stomach Neoplasms - microbiology</subject><subject>Stomach Neoplasms - pathology</subject><subject>Stomach Ulcer - epidemiology</subject><subject>Stomach Ulcer - microbiology</subject><subject>Stomach Ulcer - pathology</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Time Factors</subject><subject>Time trend</subject><subject>Young Adult</subject><issn>0815-9319</issn><issn>1440-1746</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEtvEzEURq0K1KalfwHNpuxm8B2_FxVChSbQAl1QtTvLnV4jh3kEewLpv8dDorAEL-wr-3z29SGkAFpBHq-XFXBOS1BcVjWlpqJCGVNtDshsf_CMzKgGURoG5ogcp7SklHKqxCE5AiO5pKBn5M1NxJ-uxb7BwvWPxRg6LMaIuRx8EfoR0xh61xYdjm7VuhRc3i0WQ_-tuMrTC_Lcuzbh6W49IbeX779eLMrrL_MPF2-vy4ZLaUqUwgjKvNHSg1Ki4YCaSu-FRurBeVmj5saBrPmD58YzZF4LNI1DxZxgJ-TV9t5VHH6sc1O2C6nBtnU9DutkpRKCcqn_CdbAhJagMqi3YBOHlCJ6u4qhc_HJArWTZbu0k0w7ybSTZfvHst3k6MvdG-uHDh__BndaM3C2A1xqXOuj65uQ9lwNXDHFp1-db7lfocWn_27Afpwvpirny20-pBE3-7yL37MQpoS9-zy3N_fA3l0ttP3EfgMt-aW4</recordid><startdate>200905</startdate><enddate>200905</enddate><creator>Yee, Yuk Kei</creator><creator>Wong, Ka Wah</creator><creator>Hui, Chee Kin</creator><creator>Chan, Chi Kuen</creator><creator>Chan, Annie O O</creator><creator>Lam, Shiu Kam</creator><creator>Fung, Fiona M Y</creator><creator>Hung, Ivan</creator><creator>Wong, Benjamin C Y</creator><general>Blackwell Publishing Asia</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>200905</creationdate><title>Prevalence and time trend of intestinal metaplasia in Hong Kong</title><author>Yee, Yuk Kei ; Wong, Ka Wah ; Hui, Chee Kin ; Chan, Chi Kuen ; Chan, Annie O O ; Lam, Shiu Kam ; Fung, Fiona M Y ; Hung, Ivan ; Wong, Benjamin C Y</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4669-e659503f986f1775c41e806ff58e0f1af62e849a1624bf49f3e3f85e9cae73a53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the digestive system and abdomen</topic><topic>Biological and medical sciences</topic><topic>Breath Tests</topic><topic>Duodenal Ulcer - epidemiology</topic><topic>Duodenal Ulcer - microbiology</topic><topic>Duodenal Ulcer - pathology</topic><topic>Endoscopy, Gastrointestinal</topic><topic>Esophageal Neoplasms - epidemiology</topic><topic>Esophageal Neoplasms - microbiology</topic><topic>Esophageal Neoplasms - pathology</topic><topic>Esophagoscopy</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Helicobacter Infections - epidemiology</topic><topic>Helicobacter Infections - microbiology</topic><topic>Helicobacter Infections - pathology</topic><topic>Helicobacter pylori</topic><topic>Helicobacter pylori - pathogenicity</topic><topic>Hong Kong - epidemiology</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>intestinal metaplasia</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metaplasia</topic><topic>Middle Aged</topic><topic>Other diseases. Semiology</topic><topic>Precancerous Conditions - epidemiology</topic><topic>Precancerous Conditions - microbiology</topic><topic>Precancerous Conditions - pathology</topic><topic>Prevalence</topic><topic>Sex Distribution</topic><topic>Sex Factors</topic><topic>Stomach Neoplasms - epidemiology</topic><topic>Stomach Neoplasms - microbiology</topic><topic>Stomach Neoplasms - pathology</topic><topic>Stomach Ulcer - epidemiology</topic><topic>Stomach Ulcer - microbiology</topic><topic>Stomach Ulcer - pathology</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Time Factors</topic><topic>Time trend</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yee, Yuk Kei</creatorcontrib><creatorcontrib>Wong, Ka Wah</creatorcontrib><creatorcontrib>Hui, Chee Kin</creatorcontrib><creatorcontrib>Chan, Chi Kuen</creatorcontrib><creatorcontrib>Chan, Annie O O</creatorcontrib><creatorcontrib>Lam, Shiu Kam</creatorcontrib><creatorcontrib>Fung, Fiona M Y</creatorcontrib><creatorcontrib>Hung, Ivan</creatorcontrib><creatorcontrib>Wong, Benjamin C Y</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of gastroenterology and hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yee, Yuk Kei</au><au>Wong, Ka Wah</au><au>Hui, Chee Kin</au><au>Chan, Chi Kuen</au><au>Chan, Annie O O</au><au>Lam, Shiu Kam</au><au>Fung, Fiona M Y</au><au>Hung, Ivan</au><au>Wong, Benjamin C Y</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and time trend of intestinal metaplasia in Hong Kong</atitle><jtitle>Journal of gastroenterology and hepatology</jtitle><addtitle>J Gastroenterol Hepatol</addtitle><date>2009-05</date><risdate>2009</risdate><volume>24</volume><issue>5</issue><spage>896</spage><epage>899</epage><pages>896-899</pages><issn>0815-9319</issn><eissn>1440-1746</eissn><abstract>Background and Methods: Upper endoscopy records from 1998 to 2003 were reviewed. The demographic data, endoscopic diagnosis, results of rapid urease test and the absence or presence of intestinal metaplasia (IM) in histology were reviewed, to evaluate the prevalence of IM and Helicobacter pylori (Hp) infection over time in Hong Kong.
Results: Among 1805 endoscopies performed, 1751 had both rapid urease test and histology available. A significant drop in the prevalence of duodenal ulcers from 17.9% in 1998 to 9.8% in 2003 was found (P = 0.015). Prevalence of IM was 13.9%, 5.9% and 9.4% in Hp positive, Hp negative and overall respectively (P < 0.05). The prevalence of IM increased with age, and the patterns were similar amongst subjects in 1998–2000 and those in 2001–2003. There was progressive decrease in Hp prevalence from 58% in 1998 to 40% in 2001 (P = 0.014), but no further decrease was seen in 2002–3. There was no corresponding decrease in IM prevalence. Instead IM prevalence in 2002–2003 was significantly higher than the prevalence in previous few years (P = 0.04).
Conclusion: The prevalence of IM did not change in the period from 1998 to 2003 despite a drop in the prevalence of Hp infection since 1994.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>19646018</pmid><doi>10.1111/j.1440-1746.2009.05799.x</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Adult Age Distribution Age Factors Aged Aged, 80 and over Bacterial diseases Bacterial diseases of the digestive system and abdomen Biological and medical sciences Breath Tests Duodenal Ulcer - epidemiology Duodenal Ulcer - microbiology Duodenal Ulcer - pathology Endoscopy, Gastrointestinal Esophageal Neoplasms - epidemiology Esophageal Neoplasms - microbiology Esophageal Neoplasms - pathology Esophagoscopy Female Gastroenterology. Liver. Pancreas. Abdomen Helicobacter Infections - epidemiology Helicobacter Infections - microbiology Helicobacter Infections - pathology Helicobacter pylori Helicobacter pylori - pathogenicity Hong Kong - epidemiology Human bacterial diseases Humans Infectious diseases intestinal metaplasia Male Medical sciences Metaplasia Middle Aged Other diseases. Semiology Precancerous Conditions - epidemiology Precancerous Conditions - microbiology Precancerous Conditions - pathology Prevalence Sex Distribution Sex Factors Stomach Neoplasms - epidemiology Stomach Neoplasms - microbiology Stomach Neoplasms - pathology Stomach Ulcer - epidemiology Stomach Ulcer - microbiology Stomach Ulcer - pathology Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Time Factors Time trend Young Adult |
| title | Prevalence and time trend of intestinal metaplasia in Hong Kong |
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