Influence of Stomach Cancer Risk Factors on the Development of Gastric Dysplasia.
- Author:
Jeong Yun HEO
;
Young Jin PARK
;
Seong Ho HAN
;
Joo Sung PARK
;
Eun Jin BAE
- Publication Type:Original Article
- Keywords:
Atrophic gastritis;
Metaplasia;
Stomach neoplasm
- MeSH:
Edible Grain;
Endoscopy;
Follow-Up Studies;
Gastritis, Atrophic;
Humans;
Incidence;
Life Style;
Metaplasia;
Multivariate Analysis;
Risk Factors;
Smoke;
Smoking;
Stomach;
Stomach Neoplasms
- From:Korean Journal of Health Promotion
2011;11(4):177-183
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Both atrophic gastritis and intestinal metaplasia may progress to gastric dysplasia. This study aimed to analyze the factors influencing progression of atrophic gastritis and intestinal metaplasia to dysplasia. METHODS: People diagnosed with atrophic gastritis and intestinal metaplasia for the first time received a follow-up endoscopy and were investigated for the cumulative incidence rate of gastric dysplasia by age, gender, smoking habit, alcohol intake, rice consumption and family history of stomach cancer. RESULTS: The cumulative incidence rate increased with age, consuming > or =3 bowls of rice per day and family history of stomach cancer. Multivariate analysis showed that the cumulative incidence rate of gastric dysplasia increased in subjects >61 years (RR=2.54, P=0.014), in those consuming > or =3 bowls of rice per day (RR=1.46, P=0.021) and in those with a family history of stomach cancer (RR=1.31, P=0.037). CONCLUSIONS: More active management, such as intensive endoscopic follow-up examinations, lifestyle change and education regarding gastric dysplasia, are required in those older than 61 years, having a higher intake of grain or with a family history of stomach cancer.
