The Prevalence of Gastric Intestinal Metaplasia and Distribution of Helicobacter pylori Infection, Atrophy, Dysplasia, and Cancer in Its Subtypes

Objectives. Gastric intestinal metaplasia (IM) is frequently encountered and is considered a precursor of gastric adenocarcinoma. In the Van region of Turkey, gastric adenocarcinoma incidence is high but the prevalence of gastric IM is not known. Helicobacter pylori (H. pylori) infection is a main f...

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Main Authors: Sehmus Olmez, Mehmet Aslan, Remzi Erten, Suleyman Sayar, Irfan Bayram
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2015/434039
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author Sehmus Olmez
Mehmet Aslan
Remzi Erten
Suleyman Sayar
Irfan Bayram
author_facet Sehmus Olmez
Mehmet Aslan
Remzi Erten
Suleyman Sayar
Irfan Bayram
author_sort Sehmus Olmez
collection DOAJ
description Objectives. Gastric intestinal metaplasia (IM) is frequently encountered and is considered a precursor of gastric adenocarcinoma. In the Van region of Turkey, gastric adenocarcinoma incidence is high but the prevalence of gastric IM is not known. Helicobacter pylori (H. pylori) infection is a main factor leading to atrophy, IM, and cancer development in the stomach. The aim of the current study was to investigate the prevalence of IM and its subtypes and the prevalence of H. pylori infection, atrophy, dysplasia, and cancer in gastric IM subtypes. Materials and Methods. This retrospective study was conducted on 560 IM among the 4050 consecutive patients who were undergoing esophagogastroduodenoscopy (EGD) with biopsy between June 2010 and October 2014. Clinical records and endoscopic and histopathologic reports of patients with IM were analyzed. Results. The prevalence of gastric IM was 13.8%. The prevalence of incomplete IM was statistically significantly higher than complete IM. Type III IM was the most frequent subtype. Conclusions. Gastric IM is a common finding in patients undergoing EGD with biopsy in this region. High prevalence of incomplete type IM, especially type III, can be associated with the high prevalence of gastric cancer in our region.
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spelling doaj-art-e8c2e683104f4560a684f94fcf5b94272025-08-20T02:21:57ZengWileyGastroenterology Research and Practice1687-61211687-630X2015-01-01201510.1155/2015/434039434039The Prevalence of Gastric Intestinal Metaplasia and Distribution of Helicobacter pylori Infection, Atrophy, Dysplasia, and Cancer in Its SubtypesSehmus Olmez0Mehmet Aslan1Remzi Erten2Suleyman Sayar3Irfan Bayram4Medical Faculty, Department of Gastroenterology, Yuzuncu Yil University, 65080 Van, TurkeyMedical Faculty, Department of Internal Medicine, Yuzuncu Yil University, 65080 Van, TurkeyMedical Faculty, Department of Pathology, Yuzuncu Yil University, 65080 Van, TurkeyDr. Ersin Arslan Public Hospital, Department of Gastroenterology, Gaziantep, TurkeyMedical Faculty, Department of Pathology, Yuzuncu Yil University, 65080 Van, TurkeyObjectives. Gastric intestinal metaplasia (IM) is frequently encountered and is considered a precursor of gastric adenocarcinoma. In the Van region of Turkey, gastric adenocarcinoma incidence is high but the prevalence of gastric IM is not known. Helicobacter pylori (H. pylori) infection is a main factor leading to atrophy, IM, and cancer development in the stomach. The aim of the current study was to investigate the prevalence of IM and its subtypes and the prevalence of H. pylori infection, atrophy, dysplasia, and cancer in gastric IM subtypes. Materials and Methods. This retrospective study was conducted on 560 IM among the 4050 consecutive patients who were undergoing esophagogastroduodenoscopy (EGD) with biopsy between June 2010 and October 2014. Clinical records and endoscopic and histopathologic reports of patients with IM were analyzed. Results. The prevalence of gastric IM was 13.8%. The prevalence of incomplete IM was statistically significantly higher than complete IM. Type III IM was the most frequent subtype. Conclusions. Gastric IM is a common finding in patients undergoing EGD with biopsy in this region. High prevalence of incomplete type IM, especially type III, can be associated with the high prevalence of gastric cancer in our region.http://dx.doi.org/10.1155/2015/434039
spellingShingle Sehmus Olmez
Mehmet Aslan
Remzi Erten
Suleyman Sayar
Irfan Bayram
The Prevalence of Gastric Intestinal Metaplasia and Distribution of Helicobacter pylori Infection, Atrophy, Dysplasia, and Cancer in Its Subtypes
Gastroenterology Research and Practice
title The Prevalence of Gastric Intestinal Metaplasia and Distribution of Helicobacter pylori Infection, Atrophy, Dysplasia, and Cancer in Its Subtypes
title_full The Prevalence of Gastric Intestinal Metaplasia and Distribution of Helicobacter pylori Infection, Atrophy, Dysplasia, and Cancer in Its Subtypes
title_fullStr The Prevalence of Gastric Intestinal Metaplasia and Distribution of Helicobacter pylori Infection, Atrophy, Dysplasia, and Cancer in Its Subtypes
title_full_unstemmed The Prevalence of Gastric Intestinal Metaplasia and Distribution of Helicobacter pylori Infection, Atrophy, Dysplasia, and Cancer in Its Subtypes
title_short The Prevalence of Gastric Intestinal Metaplasia and Distribution of Helicobacter pylori Infection, Atrophy, Dysplasia, and Cancer in Its Subtypes
title_sort prevalence of gastric intestinal metaplasia and distribution of helicobacter pylori infection atrophy dysplasia and cancer in its subtypes
url http://dx.doi.org/10.1155/2015/434039
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