The Distribution of Endoscopic Gastritis in 25,536 Heath Check-up Subjects in Korea

Park, Hyun Kyung; Kim, Nayoung; Lee, Sang Woo; Park, Jong Jae; Kim, Jin Il; Lee, So Young; Cha, Hyun Min; Kim, Hyerang; Park, Soo Hyun; Shim, Ki Nam; Kim, Seong Eun; Hong, Su Jin; Chung, Il Kwun; Baik, Gwang Ho; Kim, Hyun Soo; Kim, Sungkook; Seong, Jae Kyu; Seo, Geom Seog; Jee, Sam Ryong; Moon, Jeong Seop; Kim, Jae Woo; Chung, Moon Gi; Park, Seon Mee; Nah, Byung Kyu; Nam, Su Youn; Seo, Kang Seok; Ko, Byung Sung; Jo, Yun Ju; Jang, Jae Young; Kim, Byeong Gwan; Kim, Ji Won; Park, Kyung Sik; Park, Hyun Shin; Kim, Young Sun; Lim, Seon Hee; Kim, Chung Hyeon; Park, Min Jung; Yim, Jeong Yoon; Cho, Kyung Ran; Kim, Donghee; Park, Seun Ja; Song, Geun Am; Kim, Hyun Jin; Kim, Sang Wook; Im, Eui Hyeog; Lee, Kyoung Soo; Hyun, Dong Hyo; Kim, Hyun Young; Kim, Sun Mi; Shin, Jeong Eun; Park, Chan Guk; Yang, Chang Hun; Park, Soo Heon; Jung, Hyun Chae; Chung, In Sik

doi:2012.12.4.237

Korean J Helicobacter Up Gastrointest Res > Volume 12(4); 2012 > Article

Original Article

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2012;12(4):237-243.
DOI: https://doi.org/10.7704/kjhugr.2012.12.4.237 Published online December 10, 2012.

The Distribution of Endoscopic Gastritis in 25,536 Heath Check-up Subjects in Korea

Hyun Kyung Park, Nayoung Kim, Sang Woo Lee, Jong Jae Park, Jin Il Kim, So Young Lee, Hyun Min Cha, Hyerang Kim, Soo Hyun Park, Ki Nam Shim, Seong Eun Kim, Su Jin Hong, Il Kwun Chung, Gwang Ho Baik, Hyun Soo Kim, Sungkook Kim, Jae Kyu Seong, Geom Seog Seo, Sam Ryong Jee, Jeong Seop Moon, Jae Woo Kim, Moon Gi Chung, Seon Mee Park, Byung Kyu Nah, Su Youn Nam, Kang Seok Seo, Byung Sung Ko, Yun Ju Jo, Jae Young Jang, Byeong Gwan Kim, Ji Won Kim, Kyung Sik Park, Hyun Shin Park, Young Sun Kim, Seon Hee Lim, Chung Hyeon Kim, Min Jung Park, Jeong Yoon Yim, Kyung Ran Cho, Donghee Kim, Seun Ja Park, Geun Am Song, Hyun Jin Kim, Sang Wook Kim, Eui Hyeog Im, Kyoung Soo Lee, Dong Hyo Hyun, Hyun Young Kim, Sun Mi Kim, Jeong Eun Shin, Chan Guk Park, Chang Hun Yang, Soo Heon Park, Hyun Chae Jung, In Sik Chung

¹Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. nayoungkim49@empal.com
²Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
³Department of Internal Medicine, Catholic University of Korea College of Medicine, Seoul, Korea.
⁴Department of Health Promotion Center, Seoul St. Mary's Hospital, Seoul, Korea.
⁵Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
⁶Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea.
⁷Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea.
⁸Department of Internal Medicine, Chonnam National University School of Medicine, Gwangju, Korea.
⁹Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea.
¹⁰Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea.
¹¹Department of Internal Medicine, Digestive Digestive Research Institute, Wonkwang University College of Medicine, Iksan, Korea.
¹²Department of Internal Medicine, Inje University College of Medicine, Busan, Korea.
¹³Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
¹⁴Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.
¹⁵Chungbuk National University College of Medicine, Cheongju, Korea.
¹⁶Department of Internal Medicine, Gangneung Asan Hospital, Gangneung, Korea.
¹⁷Cancer Prevention Center, Korean National Cancer Center, Ilsan, Korea.
¹⁸Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea.
¹⁹Department of Internal Medicine, Eulji University College of Medicine, Daejeon, Korea.
²⁰Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea.
²¹Department of Internal Medicine, SMG-SNU Boramae Medical Center, Seoul, Korea.
²²Department of Internal Medicine, Keimyung University College of Medicine, Daegu, Korea.
²³Health Promotion Center, Inha University College of Medicine, Incheon, Korea.
²⁴Healthcare System Gangnam Center, Seoul National University Hospital, Seoul, Korea.
²⁵Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.
²⁶Department of Internal Medicine, Busan National University College of Medicine, Busan, Korea.
²⁷Department of Internal Medicine, Kyungsang National University College of Medicine, Jinju, Korea.
²⁸Department of Internal Medicine, Chonbuk National University School of Medicine, Jeonju, Korea.
²⁹Department of Internal Medicine, Kunyang University College of Medicine, Daejeon, Korea.
³⁰Cheju Halla General Hospital, Jeju, Korea.
³¹Hanmaeum Hospital, Jeju, Korea.
³²Health Promotion Center, Seoul National University Bundang Hospital, Seongnam, Korea.
³³Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea.
³⁴Department of Internal Medicine, Chosun University College of Medicine, Gwangju, Korea.
³⁵Department of Internal Medicine, Dongguk University College of Medicine, Gyeongju, Korea.
³⁶Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.

한국인 건강검진 수진자 25,536명에서의 내시경적 위염 분포

박현경¹, 김나영¹, 이상우², 박종재², 김진일³, 이소영³, 차현민³, 김혜랑⁴, 박소현⁴, 심기남⁵, 김성은⁵, 홍수진⁶, 정일권⁶, 백광호⁷, 김현수⁸, 김성국⁹, 성재규¹⁰, 서검석¹¹, 지삼룡¹², 문정섭¹², 김재우¹³, 정문기¹⁴, 박선미¹⁵, 나병규¹⁶, 남수연¹⁷, 서강석¹⁸, 고병성¹⁹, 조윤주¹⁹, 장재영²⁰, 김병관²¹, 김지원²¹, 박경식²², 박현신²³, 김영선²⁴, 임선희²⁴, 김충현²⁴, 박민정²⁴, 임정윤²⁴, 조경란²⁴, 김동희²⁴, 박선자²⁵, 송근암²⁶, 김현진²⁷, 김상욱²⁸, 임의혁²⁹, 이경수³⁰, 현동효³¹, 김현영³², 김선미³², 신정은³³, 박찬국³⁴, 양창헌³⁵, 박수헌³, 정현채³⁶, 정인식³; 대한상부위장관ㆍ헬리코박터학회

분당서울대학교병원 내과¹, 고려대학교 의과대학 내과학교실², 가톨릭대학교 의과대학 내과학교실³, 서울성모병원 건강증진센터⁴, 이화여자대학교 의학전문대학원 내과학교실⁵, 순천향대학교 의과대학 내과학교실⁶, 한림대학교 의과대학 내과학교실⁷, 전남대학교 의과대학 내과학교실⁸, 경북대학교 의학전문대학원 내과학교실⁹, 충남대학교 의학전문대학원 내과학교실¹⁰, 원광대학교 의과대학 내과학교실 원광소화기질환연구소¹¹, 인제대학교 의과대학 내과학교실¹², 연세대학교 원주의과대학 내과학교실¹³, 가천의대 인천길병원 내과¹⁴, 충북대학교 의과대학 내과학교실¹⁵, 강릉아산병원 내과¹⁶, 국립암센터 암예방검진센터¹⁷, 광주기독병원 내과¹⁸, 을지대학교 의과대학 내과학교실¹⁹, 경희대학교 의과대학 내과학교실²⁰, 보라매병원 내과²¹, 계명대학교 의과대학 내과학교실²², 인하대학교병원 건강증진센터²³, 서울대학교병원 강남센터²⁴, 고신대학교 의과대학 내과학교실²⁵, 부산대학교 의과대학 내과학교실²⁶, 경상대학교 의과대학 내과학교실²⁷, 전북대학교 의과대학 내과학교실²⁸, 건양대학교 의과대학 내과학교실²⁹, 제주한라병원³⁰, 한마음병원³¹, 분당서울대학교병원 건강증진센터³², 단국대학교병원 내과학교실³³, 조선대학교 의과대학 내과학교실³⁴, 동국대학교 의과대학 내과학교실³⁵, 서울대학교 의과대학 내과학교실³⁶

Abstract

BACKGROUND/AIMS
Chronic gastritis is a common finding during endoscopy and it is very important to describe it correctly. This study was designed to evaluate the distribution of endoscopic gastritis and the differences according to age, sex or area. MATERIALS AND METHODS: A clinical analysis was conducted on 25,536 subjects who had undergone an upper endoscopy for routine health check-up. Endoscopic gastritis was classified into four types, superficial gastritis, erosive gastritis, atrophic gastritis and intestinal metaplasia. The distribution of the four types of gastritis was evaluated according to sex, age and area. RESULTS: 51.6% of the patients had experienced at least one of the symptoms (epigastric pain or discomfort, soarness, dyspepsia, abdominal pain) on at least a few occasions during the previous year. The incidence of normal gastric finding was 3,593 (14.1%). 21,943 (85.9%) subjects have at least more than one of endoscopic gastritis. The number of cases with superficial gastritis was 7,983 (31.3%), erosive gastritis 6,054 (23.7%), atrophic gastritis 6,918 (27.1%), and intestinal metaplasia 1,181 (7.1%). Erosive gastritis, atrophic gastritis and intestinal metaplasia were more frequent in men than women (P<0.001) and in the older age group (> or =60 years) than younger age group (P<0.001). CONCLUSIONS: The prevalence of endoscopic gastritis was very common, 85.9%. In addition, erosive gastritis, atrophic gastritis and intestinal metaplasia were more frequent in men and in the older age group, which is similar to gastric cancer or peptic ulcer. Cautious regular endoscopic follow-up might be necessary regardless of gastrointestinal symptoms in Korea.

Key Words: Endoscopy; Gastritis; Helicobacter pylori