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Surveillance Strategy of Atrophic Gastritis and Intestinal Metaplasia in a Country with a High Prevalence of Gastric Cancer

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Abstract

Background

It is not clear which screening examinations are best suited for gastric cancer prevention, especially in patients with atrophic gastritis and intestinal metaplasia. Therefore, we investigated the gastric cancer screening methods and intervals that are performed in clinical practice in an area with a high prevalence of gastric cancer.

Methods

Eighty-seven physicians voted by keypad and discussed the consistency of endoscopic diagnosis of atrophic gastritis and intestinal metaplasia at the Annual Symposium of the Korean College of Helicobacter and Upper Gastrointestinal Research. Additionally, 100 core members of this academic society were asked via e-mail to complete the questionnaires related to screening strategies for gastric cancer.

Results

The most common recommendation for the subjects with intestinal metaplasia was an annual endoscopic follow-up (95.5% vs. 80.4% in the expert and non-expert groups, respectively; P = 0.118). Annual endoscopic follow-up was also the most predominant recommendation for atrophic gastritis (95.5% vs. 76.5%; P = 0.092), regardless of the physicians’ endoscopic experience, position, and degree of the hospital. However, the correct answer rate for the diagnosis of normal endoscopic findings was only 16.7 and 14.1% in the expert and non-expert groups, respectively (P = 0.883).

Conclusions

The most common practical screening strategy for patients with atrophic gastritis and intestinal metaplasia in Korea was annual endoscopic examination. However, a new program estimating individualized gastric cancer risk might be needed because of the low inter-observer agreement in the endoscopic diagnosis of atrophic gastritis and intestinal metaplasia.

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Authors and Affiliations

  1. Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea

    Woon Geon Shin

  2. Department of Internal Medicine, Jeju University College of Medicine, Jeju, Korea

    Heung Up Kim

  3. Department of Internal Medicine, Ulsan University College of Medicine, Seoul, Korea

    Ho June Song

  4. Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon, Korea

    Su Jin Hong

  5. Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea

    Ki-Nam Shim

  6. Department of Internal Medicine, Konkuk University College of Medicine, Seoul, Korea

    In-Kyung Sung

  7. Division of Gastroenterology, Department of Internal Medicine, Chung-Ang University Hospital, Chung-Ang University College of Medicine, 224-1, Heukseok-dong, Dongjak-gu, Seoul, 156-755, Korea

    Jae Gyu Kim

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  1. Woon Geon Shin
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The Korean College of Helicobacter and Upper Gastrointestinal Research

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Correspondence to Jae Gyu Kim.

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Shin, W.G., Kim, H.U., Song, H.J. et al. Surveillance Strategy of Atrophic Gastritis and Intestinal Metaplasia in a Country with a High Prevalence of Gastric Cancer. Dig Dis Sci 57, 746–752 (2012). https://doi.org/10.1007/s10620-011-1919-0

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  • DOI: https://doi.org/10.1007/s10620-011-1919-0

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