Endoscopic Grading of Intestinal Metaplasia
Study Details
Study Description
Brief Summary
Long-term Helicobacter pylori infection causes premalignant gastric conditions, such as atrophic gastritis and intestinal metaplasia. Image-enhanced endoscopy techniques such as narrow-band imaging (NBI) and magnifying endoscopy improve the diagnosis of gastric intestinal metaplasia (GIM). However, there are no comparative data on the utility of NBI and magnifying endoscopy for diagnosing GIM.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
This study aims to evaluate the diagnostic performance of NBI and magnifying endoscopy for GIM in a country with high risk of gastric premalignant lesions.
Study Design
Outcome Measures
Primary Outcome Measures
- Gastric intestinal metaplasia [4 weeks]
Gastric intestinal metaplasia would be assessed using pathological examination.
Secondary Outcome Measures
- Degree of chronic gastritis [4 weeks]
Gastric atrophy would be evaluated on the basis of histopathological examination (updated Sydney system).
Eligibility Criteria
Criteria
Inclusion Criteria:
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Gastroscopy can be performed
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Pathological analysis can be performed for analysis of gastric atrophy and intestinal metaplasia
Exclusion Criteria:
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Age < 20 or > 80 years
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Anemia (serum hemoglobin level < 10 g/dL)
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Severe systemic disease
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Advanced chronic liver disease
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Use of certain medications, including proton pump inhibitors, H2-receptor antagonists, or antibiotics
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History of H. pylori eradication
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History of gastric surgery
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Recent history of upper gastrointestinal bleeding
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Digestive Disease Center, Soonchunhyang University Hospital | Seoul | Korea, Republic of | 140-887 |
Sponsors and Collaborators
- Soonchunhyang University Hospital
Investigators
- Principal Investigator: Jun-Hyung Cho, M.D., Soonchunhyang University Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SCH-EGD-2022