文章基本信息

标题：Can Simple Tests Prior to Endoscopy Predict the OLGA Stage of Gastritis?
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作者：Ertan Bulbuloglu ; Hasan Dagmura ; Emin Daldal 等
期刊名称：Healthcare
电子版ISSN：2227-9032
出版年度：2020
卷号：8
期号：3
页码：230-240
DOI：10.3390/healthcare8030230
出版社：MDPI Publishing
摘要：Gastritis is a progressive disease that evolves from a non-atrophic to atrophic state and progresses through intestinal metaplasia, with some cases leading eventually to gastric cancer. Since gastritis by definition is an inflammatory process of the mucosal lining of the stomach and is usually associated with pain, we aimed to identify any association between the severity of gastritis and pain and a simple inflammatory marker derived from a complete blood count (CBC). This was a prospective cross-sectional study which enrolled 155 consecutive adult patients who underwent an upper endoscopy. Prior to the endoscopy, all patients were given a questionnaire, numerical rating scale (NRS) and complete blood count evaluation. The biopsy was obtained from the gastric mucosa according to the modified Sydney classification and scored with the Operative Link for Gastritis Assessment (OLGA) scoring system. The results showed a significant correlation between NRS and intestinal metaplasia (p 0.05). Helicobacter pylori positivity did not correlate with NRS and NLR. As a conclusion, pain measured by NRS and NLR, which are simply calculated from the CBC prior to endoscopy, may be used to predict OLGA stages and estimate the severity of gastritis in endoscopy patients.
关键词：Operative Link for Gastritis Assessment; gastric cancer; endoscopy; pain; numerical rating scale; neutrophil to lymphocyte ratio Operative Link for Gastritis Assessment ; gastric cancer ; endoscopy ; pain ; numerical rating scale ; neutrophil to lymphocyte ratio