Gastritis H Pylori
Conditions
Brief summary
Recently, the improved resolution with standard endoscopy allows the close observation of highly inflamed gastric mucosa without a magnifying view. In a previous study, the investigators established the endoscopic classification of H. pylori-infected stomach by non-magnifying standard endoscopy. One normal RAC pattern and three types of abnormal patterns were observed. Overall diagnostic accuracy for predicting H. pylori-infection was 91.6%. However, there is no comparison study predicting H. pylori-infection and precancerous gastric lesions between standard and magnifying endoscopy.
Detailed description
The investigators aimed to evaluate the diagnostic efficacies of non-magnifying standard endoscopy for predicting H. pylori-infection status and precancerous gastric conditions, compared to magnifying NBI endoscopy
Interventions
During endoscopy, gastric mucosal patterns would be examined by magnifying narrow-band imaging.
Sponsors
Study design
Eligibility
Inclusion criteria
* Gastroscopy can be performed * H. pylori test and pathological analysis can be performed
Exclusion criteria
* Age \< 20 or \> 70 years * Anemia (serum hemoglobin level \< 10 g/dL) * Severe systemic disease * Advanced chronic liver disease * Use of certain medications, including proton pump inhibitors, H2- receptor antagonists, or antibiotics * History of H. pylori eradication * History of gastric surgery * Recent history of upper gastrointestinal bleeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| H. pylori infection status | 1 month | H. pylori positivity would be assessed using rapid urease test. |
| Degree of chronic gastritis | 1 month | Gastric atrophy and intestinal metaplasia would be evaluated on the basis of histopathological examination (updated Sydney system). |
Countries
South Korea