ArticleWorld journal of gastroenterology2015
Can endoscopic atrophy predict histological atrophy? Historical study in United Kingdom and Japan.
Article in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Guideline
- Metabolic Syndrome and Its Components Are Associated with Closed-Type Endoscopic Atrophic Gastritis in a Large Screening Cohort.Digestive diseases and sciences · 2026Article
- Screening strategies for the early detection of non-cardia gastric cancer in low- to moderate-prevalence regions: Asia-Pacific gastroesophageal cancer congress consensus 2026.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026Review
- Longitudinal Changes in the Serum Pepsinogen I/II Ratio With Progression of Gastric Atrophy.Journal of clinical laboratory analysis · 2026Article
- Endoscopic Diagnosis of Chronic Atrophic Gastritis and Early Gastric Cancer: From Basics to Advanced Imaging.Cancers · 2026Review
- Diagnostic value of non-magnifying gastroscopy followed by targeted biopsy for detection of early gastric cancer: Multicenter prospective study.Endoscopy international open · 2026Article
- Comparative Analysis of Gastric Epithelial Neoplasm of Fundic-Gland Mucosa Lineage: Histopathological Features of Background Gastric Mucosa.JGH open : an open access journal of gastroenterology and hepatology · 2025Article
- A risk prediction model for gastric cancer based on endoscopic atrophy classification.BMC cancer · 2025Article
- Prevalence and endoscopic-histological correlation of premalignant gastric lesions at a university hospital in Uruguay.Endoscopy international open · 2025Article
- Endoscopic and clinical characteristics of autoimmune atrophic gastritis: Retrospective study.Endoscopy international open · 2025Article
- Endoscopic Grading and Sampling of Gastric Precancerous Lesions: A Comprehensive Literature Review.Current oncology (Toronto, Ont.) · 2024Review
- Latest Advances in Endoscopic Detection of Oesophageal and Gastric Neoplasia.Diagnostics (Basel, Switzerland) · 2024Review
- [Clinical Application of the Kyoto Classification of Gastritis].The Korean journal of helicobacter and upper gastrointestinal research · 2023Review
- Helicobacter pylori infection: is there circulating vacuolating cytotoxin A or cytotoxin-associated gene A protein?Gut pathogens · 2022Article
- Analysis of long-term serological and histological changes after eradication ofJournal of clinical biochemistry and nutrition · 2022Article
- Deep learning as a novel method for endoscopic diagnosis of chronic atrophic gastritis: a prospective nested case-control study.BMC gastroenterology · 2022Article
- Linked color imaging effectively detects the endoscopic atrophic border in transnasal endoscopy.Journal of clinical biochemistry and nutrition · 2022Article
- Consistency between the endoscopic Kyoto classification and pathological updated Sydney system for gastritis: A cross-sectional study.Journal of gastroenterology and hepatology · 2022Article
- Identifying the pre-malignant stomach: from guidelines to practice.Translational gastroenterology and hepatology · 2022Review
- Advances in the Aetiology & Endoscopic Detection and Management of Early Gastric Cancer.Cancers · 2021Review
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo assess the diagnostic concordance between endoscopic and histological atrophy in the United Kingdom and Japan.
methodsUsing published data, a total of 252 patients, 126 in the United Kingdom and 126 in Japan, aged 20 to 80 years, were evaluated. The extent of endoscopic atrophy was classified into five subgroups according to a modified Kimura-Takemoto classification system and was compared with histological findings of atrophy at five biopsy sites according to the updated Sydney system.
resultsThe strength of agreement of the extent of atrophy between histology and visual endoscopic inspection showed good reproducibility, with a weighted kappa value of 0.76 (P < 0.001). Multivariate analysis showed that three factors were associated with decreased concordance: Japanese ethnicity [odds ratio (OR) 0.22, 95% confidence interval (CI) 0.11-0.43], older age (OR = 0.32, 95%CI: 0.16-0.66) and endoscopic atrophy (OR = 0.10, 95%CI: 0.03-0.36). The strength of agreement between endoscopic and histological atrophy, assessed by cancer risk-oriented grading, was reproducible, with a kappa value of 0.81 (95%CI: 0.75-0.87). Only nine patients (3.6%) were endoscopically underdiagnosed with antral predominant rather than extensive atrophy and were considered false negatives.
conclusionEndoscopic grading can predict histological atrophy with few false negatives, indicating that precancerous conditions can be identified during screening endoscopy, particularly in patients in western countries.
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