Nishizawa Toshihiro, Toyoshima Osamu, Kondo Ryo, Sekiba Kazuma, Tsuji Yosuke, Ebinuma Hirotoshi, Suzuki Hidekazu, Tanikawa Chizu, Matsuda Koichi, Koike Kazuhiko
Gastroenterology, Toyoshima Endoscopy Clinic, 6-17-5 Seijo, Setagaya-ku, Tokyo 157-0066, Japan.
Department of Gastroenterology and Hepatology, International University of Health and Welfare, Mita Hospital, Minato-ku, Tokyo 108-8329, Japan.
J Clin Biochem Nutr. 2021 Jan;68(1):101-104. doi: 10.3164/jcbn.20-41. Epub 2020 Jul 16.
The ABC method combined with antibody and serum pepsinogen is a useful predictive method for stomach cancer. Kyoto classification is a new grading system for endoscopic gastritis. However, the consistency of the Kyoto score with the ABC method remains unclear. The Kyoto classification score, which ranges from 0 to 8, is based on the following findings: atrophy, intestinal metaplasia, diffuse redness, nodularity, and enlarged folds. Furthermore, we defined a simplified Kyoto classification score as the sum of scores of just atrophy and intestinal metaplasia. The association between the Kyoto classification score and the ABC method was analyzed using the Kruskal-Wallis and Steel-Dwass tests. A total of 307 subjects were enrolled. Kyoto classification scores were similar in groups B, C, and D, while scores in group A were significantly lower than those of the other groups. The simplified Kyoto classification score showed the same stepwise increase as the classification of the ABC method. In conclusion, unlike the Kyoto classification score, the simplified Kyoto score showed the same significant stepwise increase as the classification of the ABC method.
ABC法联合抗体和血清胃蛋白酶原是一种用于胃癌的有效预测方法。京都分类是一种新的内镜下胃炎分级系统。然而，京都评分与ABC法的一致性仍不明确。京都分类评分范围为0至8分，基于以下表现：萎缩、肠化生、弥漫性发红、结节和皱襞增大。此外，我们将简化的京都分类评分定义为仅萎缩和肠化生评分的总和。使用Kruskal-Wallis检验和Steel-Dwass检验分析京都分类评分与ABC法之间的关联。共纳入307名受试者。B组、C组和D组的京都分类评分相似，而A组的评分显著低于其他组。简化的京都分类评分与ABC法分类显示出相同的逐步增加。总之，与京都分类评分不同，简化的京都评分与ABC法分类显示出相同的显著逐步增加。
