Korean J Helicobacter Up Gastrointest Res.
2012 Dec;12(4):237-243. 10.7704/kjhugr.2012.12.4.237.
The Distribution of Endoscopic Gastritis in 25,536 Heath Check-up Subjects in Korea
- Park HK
- Kim N
- Lee SW
- Park JJ
- Kim JI
- Lee SY
- Cha HM
- Kim H
- Park SH
- Shim KN
- Kim SE
- Hong SJ
- Chung IK
- Baik GH
- Kim HS
- Kim S
- Seong JK
- Seo GS
- Jee SR
- Moon JS
- Kim JW
- Chung MG
- Park SM
- Nah BK
- Nam SY
- Seo KS
- Ko BS
- Jo YJ
- Jang JY
- Kim BG
- Kim JW
- Park KS
- Park HS
- Kim YS
- Lim SH
- Kim CH
- Park MJ
- Yim JY
- Cho KR
- Kim D
- Park SJ
- Song GA
- Kim HJ
- Kim SW
- Im EH
- Lee KS
- Hyun DH
- Kim HY
- Kim SM
- Shin JE
- Park CG
- Yang CH
- Park SH
- Jung HC
- Chung IS
- Korean College of Helicobacter and Upper Gastrointestinal Research
- Affiliations
-
- 1Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. nayoungkim49@empal.com
- 2Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
- 3Department of Internal Medicine, Catholic University of Korea College of Medicine, Seoul, Korea.
- 4Department of Health Promotion Center, Seoul St. Mary's Hospital, Seoul, Korea.
- 5Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
- 6Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea.
- 7Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea.
- 8Department of Internal Medicine, Chonnam National University School of Medicine, Gwangju, Korea.
- 9Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea.
- 10Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea.
- 11Department of Internal Medicine, Digestive Digestive Research Institute, Wonkwang University College of Medicine, Iksan, Korea.
- 12Department of Internal Medicine, Inje University College of Medicine, Busan, Korea.
- 13Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
- 14Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.
- 15Chungbuk National University College of Medicine, Cheongju, Korea.
- 16Department of Internal Medicine, Gangneung Asan Hospital, Gangneung, Korea.
- 17Cancer Prevention Center, Korean National Cancer Center, Ilsan, Korea.
- 18Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea.
- 19Department of Internal Medicine, Eulji University College of Medicine, Daejeon, Korea.
- 20Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea.
- 21Department of Internal Medicine, SMG-SNU Boramae Medical Center, Seoul, Korea.
- 22Department of Internal Medicine, Keimyung University College of Medicine, Daegu, Korea.
- 23Health Promotion Center, Inha University College of Medicine, Incheon, Korea.
- 24Healthcare System Gangnam Center, Seoul National University Hospital, Seoul, Korea.
- 25Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.
- 26Department of Internal Medicine, Busan National University College of Medicine, Busan, Korea.
- 27Department of Internal Medicine, Kyungsang National University College of Medicine, Jinju, Korea.
- 28Department of Internal Medicine, Chonbuk National University School of Medicine, Jeonju, Korea.
- 29Department of Internal Medicine, Kunyang University College of Medicine, Daejeon, Korea.
- 30Cheju Halla General Hospital, Jeju, Korea.
- 31Hanmaeum Hospital, Jeju, Korea.
- 32Health Promotion Center, Seoul National University Bundang Hospital, Seongnam, Korea.
- 33Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea.
- 34Department of Internal Medicine, Chosun University College of Medicine, Gwangju, Korea.
- 35Department of Internal Medicine, Dongguk University College of Medicine, Gyeongju, Korea.
- 36Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
- KMID: 2143409
- DOI: http://doi.org/10.7704/kjhugr.2012.12.4.237
Abstract
- BACKGROUND/AIMS
Chronic gastritis is a common finding during endoscopy and it is very important to describe it correctly. This study was designed to evaluate the distribution of endoscopic gastritis and the differences according to age, sex or area.
MATERIALS AND METHODS
A clinical analysis was conducted on 25,536 subjects who had undergone an upper endoscopy for routine health check-up. Endoscopic gastritis was classified into four types, superficial gastritis, erosive gastritis, atrophic gastritis and intestinal metaplasia. The distribution of the four types of gastritis was evaluated according to sex, age and area.
RESULTS
51.6% of the patients had experienced at least one of the symptoms (epigastric pain or discomfort, soarness, dyspepsia, abdominal pain) on at least a few occasions during the previous year. The incidence of normal gastric finding was 3,593 (14.1%). 21,943 (85.9%) subjects have at least more than one of endoscopic gastritis. The number of cases with superficial gastritis was 7,983 (31.3%), erosive gastritis 6,054 (23.7%), atrophic gastritis 6,918 (27.1%), and intestinal metaplasia 1,181 (7.1%). Erosive gastritis, atrophic gastritis and intestinal metaplasia were more frequent in men than women (P<0.001) and in the older age group (> or =60 years) than younger age group (P<0.001).
CONCLUSIONS
The prevalence of endoscopic gastritis was very common, 85.9%. In addition, erosive gastritis, atrophic gastritis and intestinal metaplasia were more frequent in men and in the older age group, which is similar to gastric cancer or peptic ulcer. Cautious regular endoscopic follow-up might be necessary regardless of gastrointestinal symptoms in Korea.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Staging Gastritis Based on Endoscopic Atrophic Border Backed by Operative Link for Gastritis Assessment System in 158 Health Checkup Subjects: Single Center Study
- Link between Serum Pepsinogen Concentrations and Upper Gastrointestinal Endoscopic Findings
- Prediction of Helicobacter pylori Infection by Endoscopic Severity of Erythematous Gastritis in Asymptomatic Adults
- Endoscopic gastritis, serum pepsinogen assay, and Helicobacter pylori infection
- Survey on the Endoscopic Diagnosis of Chronic Gastritis
