Surveillance strategy of atrophic gastritis and intestinal metaplasia in a country with a high prevalence of gastric cancer

Woon Geon Shin, Heung Up Kim, Ho June Song, Su Jin Hong, Ki Nam Shim, In Kyung Sung, Jae Gyu Kim

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

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 interobserver agreement in the endoscopic diagnosis of atrophic gastritis and intestinal metaplasia.

Original languageEnglish
Pages (from-to)746-752
Number of pages7
JournalDigestive Diseases and Sciences
Volume57
Issue number3
DOIs
StatePublished - Mar 2012

Keywords

  • Atrophic gastritis
  • Endoscopy
  • Gastric cancer
  • Metaplasia
  • Screening

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