Assessment of Endoscopic Gastric Atrophy according to the Kimura-Takemoto Classification and Its Potential Application in Daily Practice
The assessment of endoscopic gastric atrophy (EGA) according to the Kimura-Takemoto classification has been reported to correlate well with histological assessment. Although agreement among beginner endoscopists was less than that among experienced endoscopists, it has been shown that agreement leve...
| Asıl Yazarlar: | , |
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| Materyal Türü: | Makale |
| Dil: | English |
| Baskı/Yayın Bilgisi: |
Korean Society of Gastrointestinal Endoscopy
2019-07-01
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| Seri Bilgileri: | Clinical Endoscopy |
| Konular: | |
| Online Erişim: | http://www.e-ce.org/upload/pdf/ce-2019-072.pdf |
| _version_ | 1827613132408750080 |
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| author | Duc Trong Quach Toru Hiyama |
| author_facet | Duc Trong Quach Toru Hiyama |
| author_sort | Duc Trong Quach |
| collection | DOAJ |
| description | The assessment of endoscopic gastric atrophy (EGA) according to the Kimura-Takemoto classification has been reported to correlate well with histological assessment. Although agreement among beginner endoscopists was less than that among experienced endoscopists, it has been shown that agreement level could markedly improve and remained stable after proper training. Several cohort studies have consistently shown that the severity of EGA at baseline is significantly associated with the presence of advanced precancerous gastric lesions and gastric cancer, as well as the development of gastric cancer in future. Patients with moderate-to-severe EGA still have high risk of gastric cancer even after successful Helicobacter pylori eradication and should be candidates for gastric cancer surveillance. The assessment of EGA, therefore, could be used as a preliminary tool to identify individuals at high risk for gastric cancer. In this paper, we review the agreement on mucosal atrophy assessment between the Kimura-Takemoto classification and histology as well as the potential application of this endoscopic classification to identify precancerous gastric lesions and gastric cancer in daily practice. |
| first_indexed | 2024-03-09T08:35:25Z |
| format | Article |
| id | doaj.art-e112867623574790b0ce89747da0ae4a |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-09T08:35:25Z |
| publishDate | 2019-07-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-e112867623574790b0ce89747da0ae4a2023-12-02T18:40:50ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432019-07-0152432132710.5946/ce.2019.0727249Assessment of Endoscopic Gastric Atrophy according to the Kimura-Takemoto Classification and Its Potential Application in Daily PracticeDuc Trong Quach0Toru Hiyama1 Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam Service Center, Hiroshima University, Higashihiroshima, Hiroshima, JapanThe assessment of endoscopic gastric atrophy (EGA) according to the Kimura-Takemoto classification has been reported to correlate well with histological assessment. Although agreement among beginner endoscopists was less than that among experienced endoscopists, it has been shown that agreement level could markedly improve and remained stable after proper training. Several cohort studies have consistently shown that the severity of EGA at baseline is significantly associated with the presence of advanced precancerous gastric lesions and gastric cancer, as well as the development of gastric cancer in future. Patients with moderate-to-severe EGA still have high risk of gastric cancer even after successful Helicobacter pylori eradication and should be candidates for gastric cancer surveillance. The assessment of EGA, therefore, could be used as a preliminary tool to identify individuals at high risk for gastric cancer. In this paper, we review the agreement on mucosal atrophy assessment between the Kimura-Takemoto classification and histology as well as the potential application of this endoscopic classification to identify precancerous gastric lesions and gastric cancer in daily practice.http://www.e-ce.org/upload/pdf/ce-2019-072.pdfGastric cancerEndoscopySurveillanceScreening |
| spellingShingle | Duc Trong Quach Toru Hiyama Assessment of Endoscopic Gastric Atrophy according to the Kimura-Takemoto Classification and Its Potential Application in Daily Practice Clinical Endoscopy Gastric cancer Endoscopy Surveillance Screening |
| title | Assessment of Endoscopic Gastric Atrophy according to the Kimura-Takemoto Classification and Its Potential Application in Daily Practice |
| title_full | Assessment of Endoscopic Gastric Atrophy according to the Kimura-Takemoto Classification and Its Potential Application in Daily Practice |
| title_fullStr | Assessment of Endoscopic Gastric Atrophy according to the Kimura-Takemoto Classification and Its Potential Application in Daily Practice |
| title_full_unstemmed | Assessment of Endoscopic Gastric Atrophy according to the Kimura-Takemoto Classification and Its Potential Application in Daily Practice |
| title_short | Assessment of Endoscopic Gastric Atrophy according to the Kimura-Takemoto Classification and Its Potential Application in Daily Practice |
| title_sort | assessment of endoscopic gastric atrophy according to the kimura takemoto classification and its potential application in daily practice |
| topic | Gastric cancer Endoscopy Surveillance Screening |
| url | http://www.e-ce.org/upload/pdf/ce-2019-072.pdf |
| work_keys_str_mv | AT ductrongquach assessmentofendoscopicgastricatrophyaccordingtothekimuratakemotoclassificationanditspotentialapplicationindailypractice AT toruhiyama assessmentofendoscopicgastricatrophyaccordingtothekimuratakemotoclassificationanditspotentialapplicationindailypractice |