Is There a Difference between Endoscopic Finding and <i>Helicobacter pylori</i> Infection in Patients with Chronic Gastritis?

Kim, Jin Il; Lee, Hyun Jeong; Kim, Jeong Ho; Kim, Tae Ho; Oh, Jung Hwan; Jun, Eun Jung; Cheung, Dae Young; Chung, Woo Cheol; Kim, Byung Wook; Kim, Sung Soo; Park, Soo Heon

doi:2012.12.3.178

Korean J Helicobacter Up Gastrointest Res > Volume 12(3); 2012 > Article

Original Article

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2012;12(3):178-182.
DOI: https://doi.org/10.7704/kjhugr.2012.12.3.178 Published online September 10, 2012.

Is There a Difference between Endoscopic Finding and Helicobacter pylori Infection in Patients with Chronic Gastritis?

Jin Il Kim, Hyun Jeong Lee, Jeong Ho Kim, Tae Ho Kim, Jung Hwan Oh, Eun Jung Jun, Dae Young Cheung, Woo Cheol Chung, Byung Wook Kim, Sung Soo Kim, Soo Heon Park

Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Seoul, Korea. psheon5132@naver.com

만성 위염 환자에서 Helicobacter pylori 감염에 따라 내시경 소견에 차이가 있는가?

김진일, 이현정, 김정호, 김태호, 오정환, 전은정, 정대영, 정우철, 김병욱, 김성수, 박수헌

가톨릭대학교 의과대학 내과학교실

Abstract

BACKGROUND/AIMS
This study verifies whether endoscopic findings differ according to the infection of Helicobacter pylori in patients with chronic gastritis. MATERIALS AND METHODS: The study surveyed upper gastrointestinal symptoms of 382 patients with chronic gastritis and conducted esophagogastroduodenoscopy. The endoscopic findings were classified according to the Sydney classification, as edema, erythema, friability, exudates, flat erosion, raised erosion, rugal hyperplasia, atrophy, visibility of vascular pattern, intramural bleeding spot, nodularity, respectively in antrum, body, fundus. RESULTS: 1) The average age of 382 patients was 52.3 years and there were 176 males and 206 females. 2) Among 382 patients, 167 (43.7%) had epigastric pain syndrome and 215 (56.3%) had postprandial distress syndrome. 3) Among 167 patients with epigastric pain syndrome, 85 (51.1%) patients were infected with H. pylori, while 82 (48.9%) patients were uninfected. Among 215 patients with postprandial distress syndrome, patients infected with H. pylori were 102 (47.6%), while those uninfected with H. pylori were 113 (52.4%). This shows no difference between patients with and without H. pylori infection (P>0.05). 4) Compared to patients uninfected with H. pylori, those infected with H. pylori had more erythema (70.2% vs. 66.4%, P>0.05) in antrum, (48.5% vs. 45.2%, P>0.05) in body, and (36.4% vs. 32.7%, P>0.05) in fundus, which shows no difference (P>0.05). CONCLUSIONS: Patients infected with H. pylori tend to show more erythema, while those uninfected with H. pylori showed more atrophy. However, such difference between two groups was statistically insignificant, leading to a conclusion that endoscopic findings do not differ according to H. pylori infection.

Key Words: Helicobacter; Gastritis; Endoscopy; Diagnosis