Oh Jung-Hwan
Korean J Helicobacter Up Gastrointest Res. 2023 Jun;23(2):99-107. doi: 10.7704/kjhugr.2023.0012. Epub 2023 Jun 12.
In 2013, the Japan Gastroenterological Endoscopy Society introduced the Kyoto classification of gastritis, which is useful to predict infection based exclusively on endoscopic findings. Based on the Kyoto classification of gastritis, gastric mucosal atrophy, endoscopic intestinal metaplasia, hypertrophic gastric folds, nodularity, and diffuse redness may be associated with gastric cancer and infection, which are common endoscopic findings in Koreans. Atrophy and intestinal metaplasia are associated with gastric cancer and therefore require attention. Hypertrophic gastric folds, nodularity, and diffuse redness can be associated with current infection. The Kyoto scoring system, which is based on endoscopic findings is useful to predict current infection and gastric cancer in the absence of biopsy evaluation in clinical settings. A therapeutic strategy for infection based on the Kyoto score is expected to reduce the incidence of gastric cancer in Korea and Japan. In this study, we investigated the endoscopic findings commonly observed in Koreans among those defined by the Kyoto classification of gastritis.
2013年，日本胃肠内镜学会引入了胃炎的京都分类，该分类仅基于内镜检查结果即可有效预测感染情况。根据胃炎的京都分类，胃黏膜萎缩、内镜下肠化生、胃皱襞肥厚、结节状改变及弥漫性发红可能与胃癌及感染相关，这些是韩国人常见的内镜检查表现。萎缩和肠化生与胃癌相关，因此需要引起关注。胃皱襞肥厚、结节状改变及弥漫性发红可能与当前感染有关。基于内镜检查结果的京都评分系统，在临床环境中无需活检评估即可有效预测当前感染及胃癌情况。基于京都评分的感染治疗策略有望降低韩国和日本胃癌的发病率。在本研究中，我们调查了在胃炎京都分类所定义的韩国人当中常见的内镜检查表现。
