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Recently, the improved resolution with standard endoscopy allows the close observation of highly inflamed gastric mucosa without a magnifying view. In a previous study, the investigators established the endoscopic classification of H. pylori-infected stomach by non-magnifying standard endoscopy. One normal RAC pattern and three types of abnormal patterns were observed. Overall diagnostic accuracy for predicting H. pylori-infection was 91.6%. However, there is no comparison study predicting H. pylori-infection and precancerous gastric lesions between standard and magnifying endoscopy.
The investigators aimed to evaluate the diagnostic efficacies of non-magnifying standard endoscopy for predicting H. pylori-infection status and precancerous gastric conditions, compared to magnifying NBI endoscopy
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Magnifying narrow-band imaging endoscopy | Other | During endoscopy, gastric mucosal patterns would be examined by magnifying narrow-band imaging. |
| Measure | Description | Time Frame |
|---|---|---|
| H. pylori infection status | H. pylori positivity would be assessed using rapid urease test. | 1 month |
| Degree of chronic gastritis | Gastric atrophy and intestinal metaplasia would be evaluated on the basis of histopathological examination (updated Sydney system). | 1 month |
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Inclusion Criteria:
Exclusion Criteria:
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All of the patients underwent gastroscopy for peptic ulcer, gastric cancer screening in a single academic hospital.
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| Name | Affiliation | Role |
|---|---|---|
| Jun-Hyung Cho, M.D. | Digestive Disease Center, Soonchunhyang University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Soonchunhyang University Hospital | Seoul | South Korea |
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Biospecimen would be obtained for urease test (commercial name: CLOtest) and pathological analysis.