Chronic gastritis in China: a national multi-center survey
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- 作者：Yiqi Du (1)
Yu Bai (1)
Pei Xie (1)
Jingyuan Fang (2)
Xiaozhong Wang (3)
Xiaohua Hou (4)
Dean Tian (5)
Chengdang Wang (6)
Yandi Liu (7)
Weihong Sha (8)
Bangmao Wang (9)
Yanqing Li (10)
Guoliang Zhang (11)
Yan Li (12)
Ruihua Shi (13)
Jianming Xu (14)
Youming Li (15)
Minghe Huang (16)
Shengxi Han (17)
Jie Liu (18)
Xu Ren (19)
Pengyan Xie (20)
Zhangliu Wang (21)
Lihong Cui (22)
Jianqiu Sheng (23)
Hesheng Luo (24)
Zhaohui Wang (25)
Xiaoyan Zhao (26)
Ning Dai (27)
Yuqiang Nie (28)
Yiyou Zou (29)
Bing Xia (30)
Zhining Fan (31)
Zhitan Chen (32)
Sanren Lin (33)
Zhao-Shen Li (1) - 关键词：Chronic gastritis ; Endoscopy ; Epidemiology
- 刊名：BMC Gastroenterology
- 出版年：2014
- 出版时间：December 2014
- 年：2014
- 卷：14
- 期：1
- 全文大小：987 KB
- 作者单位：Yiqi Du (1)
Yu Bai (1)
Pei Xie (1)
Jingyuan Fang (2)
Xiaozhong Wang (3)
Xiaohua Hou (4)
Dean Tian (5)
Chengdang Wang (6)
Yandi Liu (7)
Weihong Sha (8)
Bangmao Wang (9)
Yanqing Li (10)
Guoliang Zhang (11)
Yan Li (12)
Ruihua Shi (13)
Jianming Xu (14)
Youming Li (15)
Minghe Huang (16)
Shengxi Han (17)
Jie Liu (18)
Xu Ren (19)
Pengyan Xie (20)
Zhangliu Wang (21)
Lihong Cui (22)
Jianqiu Sheng (23)
Hesheng Luo (24)
Zhaohui Wang (25)
Xiaoyan Zhao (26)
Ning Dai (27)
Yuqiang Nie (28)
Yiyou Zou (29)
Bing Xia (30)
Zhining Fan (31)
Zhitan Chen (32)
Sanren Lin (33)
Zhao-Shen Li (1)
1. Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China
2. Department of Gastroenterology, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
3. Department of Gastroenterology, Fujian Medical University Union Hospital, Fuzhou, China
4. Department of Gastroenterology, Union Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China
5. Department of Gastroenterology, Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China
6. Department of Gastroenterology, First Hospital of Fujian Medical University, Fuzhou, China
7. Department of Gastroenterology, People’s Hospital of Tianjin, Tianjin, China
8. Department of Gastroenterology, Guangdong Provincial People’s Hospital, Guangzhou, China
9. Department of Gastroenterology, General Hospital of Tianjin Medical University, Tianjin, China
10. Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, China
11. Department of Gastroenterology, First Central Hospital of Tianjin, Tianjin, China
12. Department of Gastroenterology, Shengjing Hospital of China Medical University, Shenyang, China
13. Department of Gastroenterology, Jiangsu Provincial People’s Hospital, Nanjing, China
14. Department of Gastroenterology, First Hospital of Anhui Medical University, Hefei, China
15. Department of Gastroenterology, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China
16. Department of Gastroenterology, Shenzhen TCM Hospital, Shenzhen, China
17. Department of Gastroenterology, Sichuan Provincial People’s Hospital, Chengdu, China
18. Department of Gastroenterology, Huashan Hospital, Fudan University, Shanghai, China
19. Department of Gastroenterology, Heilongjiang Provincial Hospital, Harbin, China
20. Department of Gastroenterology, Peking University First Hospital, Beijing, China
21. Department of Gastroenterology, Zhejiang Provincial Xinhua Hospital, Hangzhou, China
22. Department of Gastroenterology, Navy General Hospital of PLA, Beijing, China
23. Department of Gastroenterology, General Hospital of Beijing Military Region of PLA, Beijing, China
24. Department of Gastroenterology, Hubei Provincial People’s Hospital, Wuhan, China
25. Department of Gastroenterology, Dalian Central Hospital, Dalian, China
26. Department of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, China
27. Department of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China
28. Department of Gastroenterology, Guangzhou First Municipal People’s Hospital, Affiliated Guangzhou Medical College, Guangzhou, China
29. Department of Gastroenterology, Xiangya Hospital, Central South University, Changsha, China
30. Department of Gastroenterology, Central South Hospital, Wuhan University, Wuhan, China
31. Department of Gastroenterology, Second Affiliated Hospital, Nanjing Medical University, Nanjing, China
32. Department of Gastroenterology, Nanjing BenQ Medical Center, Nanjing, China
33. Department of Gastroenterology, Peking University Third Hospital, Beijing, China - ISSN：1471-230X
文摘
Background Chronic gastritis is one of the most common findings at upper endoscopy in the general population, and chronic atrophic gastritis is epidemiologically associated with the occurrence of gastric cancer. However, the current status of diagnosis and treatment of chronic gastritis in China is unclear. Methods A multi-center national study was performed; all patients who underwent diagnostic upper endoscopy for evaluation of gastrointestinal symptoms from 33 centers were enrolled. Data including sex, age, symptoms and endoscopic findings were prospectively recorded. Results Totally 8892 patients were included. At endoscopy, 4389, 3760 and 1573 patients were diagnosed to have superficial gastritis, erosive gastritis, and atrophic gastritis, respectively. After pathologic examination, it is found that atrophic gastritis, intestinal metaplasia and dysplasia were prevalent, which accounted for 25.8%, 23.6% and 7.3% of this patient population. Endoscopic features were useful for predicting pathologic atrophy (PLR--.78), but it was not useful for predicting erosive gastritis. Mucosal-protective agents and PPI were most commonly used medications for chronic gastritis. Conclusions The present study suggests non-atrophic gastritis is the most common endoscopic finding in Chinese patients with upper GI symptoms. Precancerous lesions, including atrophy, intestinal metaplasia and dysplasia are prevalent in Chinese patients with chronic gastritis, and endoscopic features are useful for predicting pathologic atrophy.