KMID : 0931320120120040237
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´ëÇÑ»óºÎÀ§Àå°ü.Ç︮ÄÚ¹ÚÅÍÇÐȸÁö 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£¼0.001) and in the older age group (¡Ã60 years) than younger age group (P£¼0.001).
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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