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위축성 위염과 장상피화생의 유병률 변화 및 위험인자의 변화: 다기관 연구 비교

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Author(s)
Young-Jae HwangNayoung KimSung Eun KimGwang Ho BaikJu Yup LeeKyung Sik ParkYoung-Eun JooDae-Seong MyungHyeon Ju KimHyun Joo SongHeung Up KimKwangwoo NamJeong Eun ShinHyun Jin KimGwang Ha KimJongchan LeeSeon Hee LimGeom Seog SeoSuck Chei Choi
Keimyung Author(s)
Lee, Ju YupPark, Kyung Sik
Department
Dept. of Internal Medicine (내과학)
Journal Title
Korean Journal of Helicobacter and Upper Gastrointestinal Research
Issued Date
2018
Volume
18
Issue
4
Keyword
Atrophic gastritisHelicobacter pyloriMetaplasiaPrevalenceRisk factors
Abstract
BACKGROUND/AIMS:
The aim of this study was to analyze the trend of the prevalences of atrophic gastritis (AG) and intestinal metaplasia (IM) from 2011 to 2016~2017 in Korea. And, the risk factors of AG and IM were compared between 2011 and 2016~2017.

MATERIALS AND METHODS:
A total of 4,023 subjects in 2011 and 2,506 subjects in 2016~2017 were enrolled. AG and IM were diagnosed on the basis of endoscopic findings. Multivariate analysis was performed for risk factors of AG and IM. Seventeen factors were analyzed.

RESULTS:
The seroprevalence of Helicobacter pylori decreased from 2011 (59.8%; 2,407/4,023) to 2016~2017 (51.6%; 1,293/2,506; P < 0.001). The prevalence of AG decreased from 2011 to 2016~2017 (P=0.018), but that of IM increased (P < 0.001). The risk factors of AG in 2011 were male sex, old age, H. pylori immuoglobulin G (IgG) positivity, family history of gastric cancer (GC), and high-salt diet. For IM in 2011, the risk factors were male sex, old age, H. pylori IgG positivity, and family history of GC. Risk factors of AG in 2016~2017 were old age, H. pylori IgG positivity, and country of residence. For IM in 2016~2017, the risk factors were male sex, old age, family history of GC, high fasting glucose level (≥126 mg/dL), H. pylori IgG positivity, and low income level.

CONCLUSIONS:
The difference in prevalence trends of AG and IM between 2016~2017 and 2011 could be the result of the different risk factors of AG and IM, such as decreased prevalence of H. pylori infection.
Alternative Title
Change in the Prevalences and Risk Factors of Atrophic Gastritis and Intestinal Metaplasia in Korea: Multicenter Clinical Trials
Keimyung Author(s)(Kor)
이주엽
박경식
Publisher
School of Medicine (의과대학)
Citation
Young-Jae Hwang et al. (2018). 위축성 위염과 장상피화생의 유병률 변화 및 위험인자의 변화: 다기관 연구 비교. Korean Journal of Helicobacter and Upper Gastrointestinal Research, 18(4), 247–257. doi: 10.7704/kjhugr.2018.18.4.247
Type
Article
ISSN
1738-3331
Source
https://www.helicojournal.org/journal/view.php?number=6
DOI
10.7704/kjhugr.2018.18.4.247
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42244
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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