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


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