Bile reflux is an independent risk factor for precancerous gastric lesions and gastric cancer: An observational cross-sectional study
- PMID: 33793080
- PMCID: PMC8252397
- DOI: 10.1111/1751-2980.12986
Bile reflux is an independent risk factor for precancerous gastric lesions and gastric cancer: An observational cross-sectional study
Abstract
Objective: To identify whether bile reflux on endoscopy and other related variables are risk factors for precancerous gastric lesions and gastric cancer (GC) VSports手机版. .
Methods: A multicenter, cross-sectional and observational study was conducted in five centers in China from June to October 2019, 1162 patients were recruited and divided into the chronic gastritis (CG), the precancerous lesion (low-grade intraepithelial neoplasia and intestinal metaplasia), and GC groups (including high-grade intraepithelial neoplasia) V体育安卓版. All participants underwent detailed interviews, endoscopy and biopsy, and completed questionnaires. Odds ratio and 95% confidence interval were calculated with multivariate logistic regression models with or without adjustment for Helicobacter pylori infection. .
Results: We recruited 668 patients with CG, 411 with precancerous lesions and 83 with GC. By comparing the CG and precancerous lesion groups, independent risk factors for cancerous gastric lesions were the grade of bile reflux, patient's age, dietary habits and family history of GC V体育ios版. Similar results were obtained when comparing the CG and GC groups. In addition, bile reflux was confirmed as an independent risk factor for progression from precancerous lesions to cancer. .
Conclusions: Bile reflux on endoscopy as well as age, dietary habits and a family history of GC were independent risk factors for the development of precancerous gastric lesions and GC. VSports最新版本.
Keywords: bile reflux; gastric neoplasms; intestinal metaplasia; precancerous lesion V体育平台登录. .
© 2021 The Authors. Journal of Digestive Diseases published by Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd. VSports注册入口.
Conflict of interest statement
The authors declare that they have no conflict of interest.
References
-
- Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394‐424. - PubMed
-
- Correa P, Haenszel W, Cuello C, Tannenbaum S, Archer M. A model for gastric cancer epidemiology. Lancet. 1975;2(7924):58‐60. - PubMed (VSports手机版)
-
- Lage J, Uedo N, Dinis‐Ribeiro M, Yao K. Surveillance of patients with gastric precancerous conditions. Best Pract Res Clin Gastroenterol. 2016;30(6):913‐922. - PubMed
-
- Song H, Ekheden IG, Zheng Z, Ericsson J, Nyrén O, Ye W. Incidence of gastric cancer among patients with gastric precancerous lesions: observational cohort study in a low risk Western population. BMJ. 2015;351:h3867. 10.1136/bmj.h3867. - "V体育官网入口" DOI - PMC - PubMed
-
- Choi AY, Strate LL, Fix MC, et al. Association of gastric intestinal metaplasia and East Asian ethnicity with the risk of gastric adenocarcinoma in a U.S. population. Gastrointest Endosc. 2018;87(4):1023‐1028. - PubMed
"VSports在线直播" Publication types
- Actions (V体育官网)
MeSH terms
- "VSports app下载" Actions
- V体育安卓版 - Actions
- V体育平台登录 - Actions
- V体育官网入口 - Actions
- V体育平台登录 - Actions
- Actions (VSports手机版)
Grants and funding
"VSports在线直播" LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Miscellaneous