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KMID : 0931320140140040242
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대한상부위장관.헬리코박터학회지
2014 Volume.14 No. 4 p.242 ~ p.248
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Endoscopists’ Opinions for the Management of Atrophic Gastritis and Intestinal Metaplasia
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Sim Eun-Hui
Kim Byung-Wook
Kim Ji-Hee
Yeum Seok-Cheon
Park Sung-Min
Kim Joon-Sung
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Abstract
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Background/Aims: Atrophic gastritis (AG) and intestinal metaplasia (IM) are commonly encountered pathologic conditions duringgastroscopy in Korea. These conditions were considered as pre-neoplastic lesions in many previous studies. Management and follow-up of these lesions have been performed arbitrarily since there are no standard guidelines. The aim of this study was to investigatethe endoscopists’ opinions on these conditions using web-based survey.
Materials and Methods: An e-mail based survey composed of 22 questionnaires related to the clinical and endoscopic managementof AG and IM was performed.
Results: These questionnaires were e-mailed to 495 endoscopists and replies were obtained from 168 endoscopists. IM was morecommonly diagnosed by histologic evaluation regardless of position, patient care, and experience. Most endoscopists recommendedfollow up endoscopy annually in IM compared to a 2 year interval in AG. Less experienced endoscopists and endoscopists caringhospitalized patients tended to not eradicate Helicobacter pylori in patients with AG and IM.
Conclusions: Endoscopists approach to the patients with AG and IM differred according to their position, patient care, andexperience. We need new guidelines for the surveillance and management of AG and IM in Korea.
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KEYWORD
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Atrophic gastritis, Intestinal metaplasia, Guidelines
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