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KMID : 0931320120120040237
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대한상부위장관.헬리코박터학회지
2012 Volume.12 No. 4 p.237 ~ p.243
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The Distribution of Endoscopic Gastritis in 25,536 Heath Check-up Subjects in Korea
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Park Hyun-Kyung
Kim Na-Young
Lee Sang-Woo
Park Jong-Jae
Kim Jin-Il
Lee So-Young
Cha Hyun-Min
Chung In-Sik
Park Soo-Heon
Kim Hye-Rang
Park So-Hyun
Shim Ki-Nam
Kim Seong-Eun
Hong Su-Jin
Chung Il-Kwun
Baik Gwang-Ho
Kim Hyun-Soo
Kim Sung-Kook
Sung Jae-Kyu
Seo Geom-Seog
Jee Sam-Ryong
Moon Jeong-Seop
Kim Jae-Woo
Chung Moon-Gi
Park Seon-Mee
Nah Byung-Kyu
Nam Su-Youn
Seo Kang-Seok
Ko Byung-Sung
Jo Yun-Ju
Jang Jae-Young
Kim Byeong-Gwan
Kim Ji-Won
Park Kyung-Sik
Park Hyun-Shin
Kim Young-Sun
Lim Seon-Hee
Kim Chung-Hyeon
Park Min-Jung
Yim Jeong-Yoon
Cho Kyung-Ran
Kim Dong-Hee
Park Seon-Ja
Song Geun-Am
Kim Hyun-Jin
Kim Sang-Wook
Im Euyi-Hyeog
Lee Kyoung-Soo
Hyun Dong-Hyo
Kim Hyun-Young
Shin Jeong-Eun
Park Chan-Kuk
Jung Hyun-Chae
Yang Chang-Heon
Kim Sun-Mi
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Abstract
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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 (≥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.
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KEYWORD
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Endoscopy, Gastritis, Helicobacter pylori
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