ArticleWorld journal of gastroenterology2003
Interobserver variation in histopathological assessment of Helicobacter pylori gastritis.
Article in World journal of gastroenterology, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Can GastroPanel be used as a triage tool to select patients with advanced atrophic gastritis for gastroscopy? A prospective clinical validation study.BMJ open gastroenterology · 2025Article
- Assessing the diagnostic accuracy of routine hematoxylin and eosin, Alcian Blue/Periodic Acid-Schiff, and Giemsa stains in the detection ofF1000Research · 2025Article
- A Malaysian consensus report on the diagnosis and treatment ofJGH open : an open access journal of gastroenterology and hepatology · 2023Review
- Assessment of Serum Pepsinogens with and without Co-Testing with Gastrin-17 in Gastric Cancer Risk Assessment-Results from the GISTAR Pilot Study.Diagnostics (Basel, Switzerland) · 2022Article
- The OLGA-OLGIM staging and the interobserver agreement for gastritis and preneoplastic lesion screening: a cross-sectional study.Virchows Archiv : an international journal of pathology · 2022Article
- Newly proposed quantitative criteria can assess chronic atrophic gastritis via probe-based confocal laser endomicroscopy (pCLE): a pilot study.Endoscopy international open · 2022Article
- Clinical impact of confocal laser endomicroscopy in the management of gastrointestinal lesions with an uncertain diagnosis.World journal of gastrointestinal endoscopy · 2017Article
- Article
- Limitations of urease test in diagnosis of pediatric Helicobacter pylori infection.World journal of clinical pediatrics · 2015Review
- Interobserver and intraobserver agreement for gastric mucosa atrophy.BMC gastroenterology · 2015Article
- High Prevalence of Gastric Preneoplastic Lesions in East Asians and Hispanics in the USA.Digestive diseases and sciences · 2015Article
- Diagnosis of Helicobacter pylori by invasive test: histology.Annals of translational medicine · 2015Review
- The Incidence of Lymphoplasmacytic Gastritis in the Fundus and Antrum of Cynomolgus Monkey ( Macaca fascicularis ) Stomachs.Journal of toxicologic pathology · 2012Article
- Five methods for detection of Helicobacter pylori in the Turkish population.World journal of gastroenterology · 2011Article
- Evaluation of gastric cancer risk using topography of histological gastritis: a large-scaled cross-sectional study.Digestive diseases and sciences · 2008Article
- [Source of variation in the diagnosis of Helicobacter pylori-associated multifocal atrophic gastritis.]Colombia medica (Cali, Colombia) · 2008Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimBecause the presence or absence of H pylori infection has important implications for therapeutic decisions based on histological assessment, the reproducibility of Sydney system is important. The study was designed to test the reproducibility of features of Helicobacter pylori gastritis, using the updated Sydney classification.
methodsGastric biopsies of 40 randomly selected cases of H pylori gastritis were scored semiquantitatively by three pathologists. Variables analysed included chronic inflammation, inflammatory activity, atrophy, intestinal metaplasia, H pylori, surface epithelial damage. Kappa values below 0.5 represented poor, those between 0.5 and 0.75 good and values over 0.75 excellent interobserver agreement.
resultsThe best interobserver agreement (kappa=0.62) was present for intestinal metaplasia. The agreement was the poorest for evaluating atrophy (kappa=0.31).
conclusionAlthough the results of this study were in accordance with some previous studies, an excellent agreement could not be reached for any features of H pylori gastritis. This low degree of concordance is assumed to be due to the personal evaluation differences in grading the features, the lack of standardized diagnostic criteria, and the ignorance to reach a consensus about the methods to be used in grading the features of H pylori gastritis before initiating the study.
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