Endoscopic Grading of Atrophic Gastritis is Inversely Associated with Gastroesophageal Reflux and Gastropharyngeal Reflux
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Abstract
Background : Reflux esophagitis is inversely associated with the presence of atrophic gastritis, and endoscopic grading of atrophic gastritis correlates with histological evaluation. The aim of this study was to investigate the association of the endoscopic grade of atrophic gastritis with gastroesophageal and gastropharyngeal reflux. Methods : A total of 627 patients, who underwent endoscopy and ambulatory 24-hour dual-probe pH monitoring, were included in this study. The grade of atrophic gastritis was endoscopically classified into 2 types with the atrophic pattern system: the closed-type (C-type) and the open-type (O-type). We compared the findings from endoscopy and ambulatory pH monitoring for these 2 types. Results : The O-type was significantly associated with a lower prevalence of reflux esophagitis (p=0.001). All variables showing gastroesophageal reflux in the distal probe were significantly lower in the O-type than in the C-type (p<0.05). Similarly for the proximal probe, all variables, except the supine time of pH<4, were significantly lower in the O-type than in the C-type (p<0.05). The frequency of gastroesophageal reflux disease and gastropharyngeal reflux disease was in significantly lower in the O-type than in the C-type (p<0.001, p=0.012, respectively). Conclusions : Endoscopic grading of atrophic gastritis is easy and is inversely associated with gastroesophageal and gastropharyngeal reflux.
참고문헌 (26)
- "Reflux esophagitis, sliding hiatal hernia, and the anatomy of repair", pp.419~431 (1951), sliding hiatal hernia
- "Egide MS. Mechanisms of gastroesophageal reflux in patients with reflux esophagitis. N Engl J Med 307", pp.1547~1552 (1982)
- "Dodds WJ. Mechanisms of lower oesophageal sphincter incompetence in patients with symptomatic gastrooesophageal reflux. Gut 29", pp.1020~1028 (1988)
- "one factor in the production of reflux oesophagitis. Gut 15", pp.852~857 (1974)
- "Calam J. Acid secretion and sensitivity to gastrin in patients with duodenal ulcer effect of eradication of Helicobacter pylori. Gut 34", pp.888~892 (1993)
- "Helicobacter pylori infection and abnormalities of acid secretion in patients with duodenal ulcer disease", 109, pp.681~691 (1995)
- "Eradication of Helicobacter pylori increases gastric acidity in patients with atrophic gastritis of the corpus-evaluation of 24-h pH monitoring", 13, pp.155~162 (1999)
- "Seroepidemiological study of Helicobacter pylori infection in asymptomatic people in South Korea", 16, pp.969~975 (2001)
- "Graham DY. Relationship of Helicobacter pylori to serum pepsinogens in an asymptomatic Japanese population. Gastroenterology 102", pp.760~766 (1992)
- "Helicobacter pylori infection prevents erosive reflux oesophagitis by decreasing gastric acid secretion", 49, pp.330~334 (2001)
- "Inverse background of Helicobacter pylori antibody and pepsinogen in reflux oesophagitis compared with gastric cancer: analysis of 5732 Japanese subjects", 49, pp.335~340 (2001)
- "Association between gastroesophageal flap valve, reflux esophagitis, Barrett's epithelium, and atrophic gastritis assessed by endoscopy in Japanese patients", 38, pp.533~539 (2003)
- "Takemoto T. An endoscopic recognition of the atrophic border and its significance in chronic gastritis. Endoscopy 3", pp.87~97 (1969)
- "Gastritis in the Japanese stomach", 214, pp.17~20 (1996)
- "Distribution of inflammation and atrophy in the stomach of Helicobacter pylori-positive and -negative patients with chronic gastritis", 91, pp.963~969 (1996)
- "Profile of Helicobacter pylori cytotoxin derived from two areas of Japan with different prevalence of atrophic gastritis", 39, pp.800~806 (1996)
- "Agreement between endoscopic and histological gastric atrophy scores", 40, pp.123~127 (2005)
- "Endoscopic assessment of oesophagitis: clinical and functional correlates and further validation of the Los Angeles classification", 45, pp.172~180 (1999)
- "Gastroesophageal flap valve is associated with gastroesophageal and gastropharyngeal reflux", 41, pp.654~661 (2006)
- "DeMeester TR. Development of the 24-hour intraesophageal pH monitoring composite scoring system. J Clin Gastroenterol 8", pp.1 52~58 (1986)
- "Isberg PE. Ambulatory 24 hour intraesophageal pH-monitoring in the diagnosis of gastroesophageal reflux disease. Gut 28", pp.1145~1150 (1987)
- "Ambulatory monitoring of esophageal pH and pressure", pp.135~150 (2004), Philadelphia, Lippincott Williams & Wilkins
- "Diagnosis and consequences of gastropharyngeal reflux", 25, pp.440~455 (2000)
- "Ambulatory pH measurements at the upper esophageal sphincter", 108, pp.299~302 (1998)
- "The relationship between the control of pH and healing and symptom relief in gastro-oesophageal reflux disease", 9, pp.3~7 (1995)
- "Blum AL. Diagnostic assessment of gastroesophageal reflux disease", pp.39 1 3~13 (1992)