» Articles » PMID: 28405319

Family History is an Independent Risk Factor for the Progression of Gastric Atrophy Among Patients with Infection

Overview
Publisher Wiley
Specialty Gastroenterology
Date 2017 Apr 14
PMID 28405319
Citations 13
Authors
Affiliations
Soon will be listed here.
Abstract

Background And Aim: Risk factors for progression of gastric atrophy have not been fully elucidated. The aim of this study was to evaluate the risk factors for the development of atrophic gastritis in patients with ( ) infection.

Methods: We reviewed 206 -infected patients retrospectively. Endoscopic gastric atrophy was classified into closed- and open-type. We conducted univariate and multivariate logistic regression analyses on the contribution of age, sex, body mass index, past history of cancer, the first-degree family history of gastric cancer, habitual smoking and alcohol drinking, and endoscopic findings of gastric ulcer or duodenal ulcer for open-type gastric atrophy.

Results: On multivariate analysis, age (odds ratio = 1.079, 95% confidence interval = 1.048-1.11,  < 0.001), family history of gastric cancer (odds ratio = 3.967, 95% confidence interval = 1.414-10.6,  = 0.006) and duodenal ulcer (odds ratio = 0.834, 95% confidence interval = 0.711-0.977,  = 0.024) were the factors independently associated with open-type gastric atrophy.

Conclusions: A first-degree family history of gastric cancer, absence of duodenal ulcer, and old age were independent risk factors for the progression of gastric atrophy among -infected patients. Careful examination with upper gastrointestinal endoscopy is necessary in patients with such risk factors.

Citing Articles

Antibiotic Resistance and Therapeutic Efficacy of Infection in Pediatric Patients-A Tertiary Center Experience.

Galos F, Boboc C, Iesanu M, Anghel M, Ioan A, Iana E Antibiotics (Basel). 2023; 12(1).

PMID: 36671347 PMC: 9854557. DOI: 10.3390/antibiotics12010146.


The simplified Kyoto classification score is consistent with the ABC method of classification as a grading system for endoscopic gastritis.

Nishizawa T, Toyoshima O, Kondo R, Sekiba K, Tsuji Y, Ebinuma H J Clin Biochem Nutr. 2021; 68(1):101-104.

PMID: 33536719 PMC: 7844658. DOI: 10.3164/jcbn.20-41.


A single nucleotide polymorphism in is associated with endoscopic grading in Kyoto classification of gastritis.

Toyoshima O, Nishizawa T, Sekiba K, Matsuno T, Kondo R, Watanabe H J Clin Biochem Nutr. 2021; 68(1):73-77.

PMID: 33536715 PMC: 7844668. DOI: 10.3164/jcbn.20-67.


Endoscopy-based Kyoto classification score of gastritis related to pathological topography of neutrophil activity.

Toyoshima O, Nishizawa T, Yoshida S, Sakaguchi Y, Nakai Y, Watanabe H World J Gastroenterol. 2020; 26(34):5146-5155.

PMID: 32982115 PMC: 7495031. DOI: 10.3748/wjg.v26.i34.5146.


Nodularity-like appearance in the cardia: novel endoscopic findings for infection.

Toyoshima O, Nishizawa T, Sakitani K, Yamakawa T, Watanabe H, Yoshida S Endosc Int Open. 2020; 8(6):E770-E774.

PMID: 32490162 PMC: 7247899. DOI: 10.1055/a-1136-9890.


References
1.
Tanikawa C, Urabe Y, Matsuo K, Kubo M, Takahashi A, Ito H . A genome-wide association study identifies two susceptibility loci for duodenal ulcer in the Japanese population. Nat Genet. 2012; 44(4):430-4, S1-2. DOI: 10.1038/ng.1109. View

2.
Rokkas T, Sechopoulos P, Pistiolas D, Margantinis G, Koukoulis G . Helicobacter pylori infection and gastric histology in first-degree relatives of gastric cancer patients: a meta-analysis. Eur J Gastroenterol Hepatol. 2010; 22(9):1128-33. DOI: 10.1097/MEG.0b013e3283398d37. View

3.
El-Omar E, Oien K, Murray L, Wirz A, Gillen D, Williams C . Increased prevalence of precancerous changes in relatives of gastric cancer patients: critical role of H. pylori. Gastroenterology. 1999; 118(1):22-30. DOI: 10.1016/s0016-5085(00)70410-0. View

4.
Tsukui T, Kashiwagi R, Sakane M, TABATA F, Akamatsu T, Wada K . Aging increases, and duodenal ulcer reduces the risk for intestinal metaplasia of the gastric corpus in Japanese patients with dyspepsia. J Gastroenterol Hepatol. 2001; 16(1):15-21. DOI: 10.1046/j.1440-1746.2001.02380.x. View

5.
Miwata T, Quach D, Hiyama T, Aoki R, Le H, Tran P . Interobserver and intraobserver agreement for gastric mucosa atrophy. BMC Gastroenterol. 2015; 15:95. PMC: 4523036. DOI: 10.1186/s12876-015-0327-x. View