Predicting the development of gastric cancer from combining Helicobacter pylori antibodies and serum pepsinogen status: a prospective endoscopic cohort study.

Abstract:

BACKGROUND AND AIMS:Helicobacter pylori infection and gastric atrophy are both risk factors for gastric cancer. We aimed to elucidate the natural history of gastric cancer development according to H pylori infection and gastric atrophy status. SUBJECTS AND METHODS:A total of 9293 participants in a mass health appraisal programme were candidates for inclusion in the present prospective cohort study: 6983 subjects revisited the follow up programme. Subjects were classified into four groups according to serological status at initial endoscopy. Group A (n = 3324) had "normal" pepsinogen and were negative for H pylori antibody; group B (n = 2134) had "normal" pepsinogen and were positive for H pylori antibody; group C (n = 1082) had "atrophic" pepsinogen and were positive for H pylori antibody; and group D (n = 443) had "atrophic" pepsinogen and were negative for H pylori antibody. Incidence of gastric cancer was determined by annual endoscopic examination. RESULTS:Mean duration of follow up was 4.7 years and the average number of endoscopic examinations was 5.1. The annual incidence of gastric cancer was 0.04% (95% confidence interval (CI) 0.02-0.09), 0.06% (0.03-0.13), 0.35% (0.23-0.57), and 0.60% (0.34-1.05) in groups A, B, C, and D, respectively. Hazard ratios compared with group A were 1.1 (95% CI 0.4-3.4), 6.0 (2.4-14.5), and 8.2 (3.2-21.5) in groups B, C, and D, respectively. Age, sex, and "group" significantly served as independent valuables by multivariate analysis. CONCLUSIONS:The combination of serum pepsinogen and anti-H pylori antibody provides a good predictive marker for the development of gastric cancer.

journal_name

Gut

journal_title

Gut

authors

Watabe H,Mitsushima T,Yamaji Y,Okamoto M,Wada R,Kokubo T,Doi H,Yoshida H,Kawabe T,Omata M

doi

10.1136/gut.2004.055400

keywords:

subject

Has Abstract

pub_date

2005-06-01 00:00:00

pages

764-8

issue

6

eissn

0017-5749

issn

1468-3288

pii

54/6/764

journal_volume

54

pub_type

杂志文章

相关文献

GUT文献大全
  • Iqgap3-Ras axis drives stem cell proliferation in the stomach corpus during homoeostasis and repair.

    abstract:OBJECTIVE:Tissue stem cells are central regulators of organ homoeostasis. We looked for a protein that is exclusively expressed and functionally involved in stem cell activity in rapidly proliferating isthmus stem cells in the stomach corpus. DESIGN:We uncovered the specific expression of Iqgap3 in proliferating isthm...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2020-322779

    authors: Matsuo J,Douchi D,Myint K,Mon NN,Yamamura A,Kohu K,Heng DL,Chen S,Mawan NA,Nuttonmanit N,Li Y,Srivastava S,Ho SWT,Lee NYS,Lee HK,Adachi M,Tamura A,Chen J,Yang H,Teh M,So JB,Yong WP,Tan P,Yeoh KG,Chuang LSH

    更新日期:2020-12-08 00:00:00

  • Cytokine gene polymorphisms in inflammatory bowel disease.

    abstract:BACKGROUND:Concordance rates in siblings and twins provide strong evidence that genetic susceptibility is important in the pathogenesis of inflammatory bowel disease. The number and identity of susceptibility genes is largely uncertain. Cytokine genes are attractive candidate loci. AIMS:To study allelic frequencies of...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.39.5.705

    authors: Louis E,Satsangi J,Roussomoustakaki M,Parkes M,Fanning G,Welsh K,Jewell D

    更新日期:1996-11-01 00:00:00

  • Acute delta hepatitis without circulating HBsAg.

    abstract::Infection with the delta agent can only occur in the context of coexistent hepatitis B virus infection. We describe a patient in whom the clinical features of acute delta hepatitis developed when seroconversion from hepatitis B surface antigen to antibody had already occurred and diagnosis of recent acute hepatitis B ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.26.2.212

    authors: De Cock KM,Govindarajan S,Redeker AG

    更新日期:1985-02-01 00:00:00

  • Possible paracrine growth of adenocarcinoma of the stomach induced by granulocyte colony stimulating factor produced by squamous cell carcinoma of the oesophagus.

    abstract::Synchronous cancers of the oesophagus and stomach diagnosed in a patient showing pronounced leucocytosis were examined for production of granulocyte colony stimulating factor (G-CSF) and expression of G-CSF receptor. Whereas enzyme immunoassay of tissue extracts showed that the oesophageal carcinoma produced G-CSF, th...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.46.3.432

    authors: Ichiishi E,Yoshikawa T,Kogawa T,Yoshida N,Kondo M

    更新日期:2000-03-01 00:00:00

  • Distribution of prostaglandins in gastric and duodenal mucosa of healthy subjects and duodenal ulcer patients: effects of aspirin and paracetamol.

    abstract::The distribution of mucosal PGE2-like activity was determined by bioassay technique in the body and antrum of the stomach and in the duodenum of healthy subjects and duodenal ulcer patients before and after administration of aspirin, paracetamol, or histamine. In healthy subjects, the oxyntic, antral and duodenal muco...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.22.4.283

    authors: Konturek SJ,Obtulowicz W,Sito E,Oleksy J,Wilkon S,Kiec-Dembinska A

    更新日期:1981-04-01 00:00:00

  • Clinical outcome after infection with Helicobacter pylori does not appear to be reliably predicted by the presence of any of the genes of the cag pathogenicity island.

    abstract:BACKGROUND:The development of clinical disease after infection with Helicobacter pylori has been reported to be associated with expression of the cagA gene. Recently, it has been shown that cagA is part of a multigene locus, described as the cag pathogenicity island (PAI). The role of this region in determining clinica...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.43.6.752

    authors: Jenks PJ,Mégraud F,Labigne A

    更新日期:1998-12-01 00:00:00

  • Faecal alpha-1-antitrypsin and excretion of 111indium granulocytes in assessment of disease activity in chronic inflammatory bowel diseases.

    abstract::Intestinal protein loss in chronic inflammatory bowel diseases may be easily determined by measurement of alpha-1-antitrypsin (alpha 1-AT) stool concentration and alpha 1-AT clearance. Both parameters were significantly raised in 36 and 34 patients respectively with chronic inflammatory bowel diseases, compared with e...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.4.386

    authors: Fischbach W,Becker W,Mössner J,Koch W,Reiners C

    更新日期:1987-04-01 00:00:00

  • Evidence for the role of a human intestinal adenovirus in the pathogenesis of coeliac disease.

    abstract::We previously noted a region of amino acid sequence homology between A-gliadin, a major alpha-gliadin component known to activate coeliac disease, and the early region E1b protein of human adenovirus serotype 12 (Ad12), an adenovirus isolated from the human intestinal tract. In the present study sera from coeliac dise...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.8.995

    authors: Kagnoff MF,Paterson YJ,Kumar PJ,Kasarda DD,Carbone FR,Unsworth DJ,Austin RK

    更新日期:1987-08-01 00:00:00

  • Extracellular cathepsin K exerts antimicrobial activity and is protective against chronic intestinal inflammation in mice.

    abstract:OBJECTIVE:Cathepsin K is a lysosomal cysteine protease that has pleiotropic roles in bone resorption, arthritis, atherosclerosis, blood pressure regulation, obesity and cancer. Recently, it was demonstrated that cathepsin K-deficient (Ctsk(-/-) ) mice are less susceptible to experimental autoimmune arthritis and enceph...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2011-300076

    authors: Sina C,Lipinski S,Gavrilova O,Aden K,Rehman A,Till A,Rittger A,Podschun R,Meyer-Hoffert U,Haesler R,Midtling E,Pütsep K,McGuckin MA,Schreiber S,Saftig P,Rosenstiel P

    更新日期:2013-04-01 00:00:00

  • NAD metabolism fuels human and mouse intestinal inflammation.

    abstract:OBJECTIVE:Nicotinamide phosphoribosyltransferase (NAMPT, also referred to as pre-B cell colony-enhancing factor or visfatin) is critically required for the maintenance of cellular nicotinamide adenine dinucleotide (NAD) supply catalysing the rate-limiting step of the NAD salvage pathway. NAMPT is strongly upregulated i...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2017-314241

    authors: Gerner RR,Klepsch V,Macheiner S,Arnhard K,Adolph TE,Grander C,Wieser V,Pfister A,Moser P,Hermann-Kleiter N,Baier G,Oberacher H,Tilg H,Moschen AR

    更新日期:2018-10-01 00:00:00

  • The measurement of intestinal sounds in man and their relationship to serum 5-hydroxytryptamine.

    abstract::Carbachol and magnesium sulphate were used to increase the motility of the intestine in healthy volunteers. The effect was estimated by recording changes in abdominal sounds. Serum 5-hydroxytryptamine levels were assayed and found to be higher after gastrointestinal stimulation. ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2.3.246

    authors: ADAMS BG

    更新日期:1961-09-01 00:00:00

  • Pneumatic dilatation in achalasia.

    abstract::To assess the value of pneumatic dilatation of the cardia, 63 patients with achalasia have undergone a total of 107 Rider-Moeller dilatations over the last six years. There was a marked improvement in swallowing immediately after dilatation in all but two patients, there were no deaths attributable to the procedure an...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.24.11.1020

    authors: Fellows IW,Ogilvie AL,Atkinson M

    更新日期:1983-11-01 00:00:00

  • Portal and peripheral blood short chain fatty acid concentrations after caecal lactulose instillation at surgery.

    abstract::The major end products of fermentation, short chain fatty acids (acetate, propionate, butyrate) were measured in portal and peripheral venous blood after the caecal instillation of lactulose at surgery in patients undergoing elective cholecystectomy. Blood samples for short chain fatty acid measurement were taken befo...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.33.9.1249

    authors: Peters SG,Pomare EW,Fisher CA

    更新日期:1992-09-01 00:00:00

  • Progress towards the comprehensive control of hepatitis B in Africa: a view from South Africa.

    abstract::The carrier rate of hepatitis B virus (HBV) in black Africans averages 10.4% throughout the continent. Even within each country, however, there may be wide variations. HBV carriage in black Africans is largely established in early childhood, mostly through horizontal transmission. Perinatal transmission also occurs bu...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gut.38.suppl_2.s31

    authors: Kew MC

    更新日期:1996-01-01 00:00:00

  • Role of TLR4 in the gut-brain axis in Parkinson's disease: a translational study from men to mice.

    abstract:OBJECTIVE:Recent evidence suggesting an important role of gut-derived inflammation in brain disorders has opened up new directions to explore the possible role of the gut-brain axis in neurodegenerative diseases. Given the prominence of dysbiosis and colonic dysfunction in patients with Parkinson's disease (PD), we pro...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2018-316844

    authors: Perez-Pardo P,Dodiya HB,Engen PA,Forsyth CB,Huschens AM,Shaikh M,Voigt RM,Naqib A,Green SJ,Kordower JH,Shannon KM,Garssen J,Kraneveld AD,Keshavarzian A

    更新日期:2019-05-01 00:00:00

  • Oxidative DNA damage accumulation in gastric carcinogenesis.

    abstract:BACKGROUND:Gastric carcinogenesis is a multifactorial, multistep process, in which chronic inflammation plays a major role. AIMS:In order to ascertain whether free radical mediated oxidative DNA damage is involved in such a process, concentrations of 8-hydroxydeoxyguanosine (8OHdG), a mutagenic/carcinogenic adduct, an...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.42.3.351

    authors: Farinati F,Cardin R,Degan P,Rugge M,Mario FD,Bonvicini P,Naccarato R

    更新日期:1998-03-01 00:00:00

  • Modulation of human upper intestinal nutrient transit by a beta adrenoreceptor mediated pathway.

    abstract::To explore the role played by beta adrenoreceptor mediated pathways on human upper gut function a series of studies were conducted into the effects of beta adrenoreceptor agonists and antagonists on orocaecal and duodenocaecal transit and on antral and duodenal motor activity. Under control conditions orocaecal transi...

    journal_title:Gut

    pub_type: 临床试验,杂志文章

    doi:10.1136/gut.33.8.1062

    authors: McIntyre AS,Thompson DG,Day S,Burnham WR,Walker ER

    更新日期:1992-08-01 00:00:00

  • Young-onset colorectal cancer risk among individuals with iron-deficiency anaemia and haematochezia.

    abstract:OBJECTIVE:Young-onset colorectal cancer (YCRC) incidence is rising. Scant data exist on YCRC risk after presentation with concerning symptoms such as iron-deficiency anaemia (IDA) or haematochezia. We examined the association between IDA and YCRC, and haematochezia and YCRC. DESIGN:Cohort study of US Veterans aged 18-...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2020-321849

    authors: Demb J,Liu L,Murphy CC,Doubeni CA,Martínez ME,Gupta S

    更新日期:2020-12-18 00:00:00

  • Microalbuminuria in inflammatory bowel disease.

    abstract::Microalbuminuria independently predicts the development of nephropathy and increased cardiovascular morbidity and mortality in diabetic patients, but it may be an indicator of the acute phase response. This study examined microalbuminuria as a marker of the acute phase response in patients with inflammatory bowel dise...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.35.11.1599

    authors: Mahmud N,Stinson J,O'Connell MA,Mantle TJ,Keeling PW,Feely J,Weir DG,Kelleher D

    更新日期:1994-11-01 00:00:00

  • Antibody mediated hepatocyte injury in methyl dopa induced hepatotoxicity.

    abstract::To investigate the mechanisms underlying the hepatotoxicity induced by methyl dopa, we have examined sera from nine patients with liver damage following the use of the drug for evidence of sensitisation to drug altered liver cell membrane antigens using both immunofluorescence and antibody dependent cell mediated cyto...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.26.11.1233

    authors: Neuberger J,Kenna JG,Nouri Aria K,Williams R

    更新日期:1985-11-01 00:00:00

  • Efficacy of different regimens of interferon alfa-2b treatment in chronic hepatitis C.

    abstract::Four different dosage regimens of interferon (IFN) alfa-2b (3 million units (MU) three times weekly for three months, 3 MU three times weekly for six months, 6 MU two times weekly for six months, and 6 MU three times weekly for six months) were compared in patients with chronic hepatitis C. There was no significant di...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.34.2_suppl.s135

    authors: De Bac C,Grimaldi F,Clementi C,Duca F,Livoli D,Taliani G

    更新日期:1993-01-01 00:00:00

  • Liver in obesity.

    abstract::We report on clinical, nutritional, and hepatic histological findings in 50 non-selected obese subjects (mean overweight +74%; range +21-138%). The pathogenesis of the liver damage was assessed with the help of multidimensional analysis of a number of clinical variables. According to the severity of the hepatic lesion...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.26.2.133

    authors: Braillon A,Capron JP,Hervé MA,Degott C,Quenum C

    更新日期:1985-02-01 00:00:00

  • Postprandial plasma concentrations of glycine and taurine conjugated bile acids in healthy subjects.

    abstract::Fasting and postprandial plasma concentrations of glycine and taurine conjugates of cholic, chenodeoxycholic, and deoxycholic acid were measured by a high pressure liquid chromatography-enzymatic assay in nine healthy subjects. The mean value of each bile acid concentration increased significantly (2.4-4.7 times) in t...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.24.3.249

    authors: Linnet K

    更新日期:1983-03-01 00:00:00

  • Relationship of hepatic iron concentration to histochemical grading and to total chelatable body iron in conditions associated with iron overload.

    abstract::A simple method based on atomic absorption spectrophotometry and using protein concentration as the reference standard was used for measuring the total tissue iron concentration in needle liver biopsy specimens from 47 patients with varying levels of body iron stores. The values obtained showed a close correlation ove...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.12.12.1011

    authors: Walker RJ,Miller JP,Dymock IW,Shilkin KB,Williams R

    更新日期:1971-12-01 00:00:00

  • A case of 'Crohn's carcinoma'.

    abstract::A case of adenocarcinoma of the ileum, occurring in an area concomitantly the site of Crohn's disease, is described. Examination of the literature suggests that there are certain characteristics of the small bowel carcinoma which arises in Crohn's disease. These include invisibility of the tumour on macroscopic inspec...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.16.7.533

    authors: Fleming KA,Pollock AC

    更新日期:1975-07-01 00:00:00

  • Gall bladder dysmotility: a risk factor for gall stone formation in hypertriglyceridaemia and reversal on triglyceride lowering therapy by bezafibrate and fish oil.

    abstract:BACKGROUND AND AIM:The aim of this study was to unravel the mechanisms responsible for the increased risk of gall stone disease in hypertriglyceridaemia (HTG) and to compare the effects of triglyceride lowering therapy by bezafibrate and fish oil on determinants of cholelithiasis (biliary lipid composition and gall bla...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.52.1.109

    authors: Jonkers IJ,Smelt AH,Ledeboer M,Hollum ME,Biemond I,Kuipers F,Stellaard F,Boverhof R,Meinders AE,Lamers CH,Masclee AA

    更新日期:2003-01-01 00:00:00

  • Duodenal mucosal reductase in wild-type and Hfe knockout mice on iron adequate, iron deficient, and iron rich feeding.

    abstract:BACKGROUND:Genetic haemochromatosis is a common hereditary iron loading disorder in humans. The disease is associated with loss of function mutations in the HFE gene. This is thought to change iron stores via increased iron absorption. AIMS:In this study we investigated how adaptation of mucosal reductase activity is ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.52.4.510

    authors: Simpson RJ,Debnam E,Beaumont N,Bahram S,Schümann K,Srai SK

    更新日期:2003-04-01 00:00:00

  • Dual prognostic significance of tumour-associated macrophages in human pancreatic adenocarcinoma treated or untreated with chemotherapy.

    abstract:OBJECTIVE:Tumour-associated macrophages (TAMs) play key roles in tumour progression. Recent evidence suggests that TAMs critically modulate the efficacy of anticancer therapies, raising the prospect of their targeting in human cancer. DESIGN:In a large retrospective cohort study involving 110 patients with pancreatic ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2015-309193

    authors: Di Caro G,Cortese N,Castino GF,Grizzi F,Gavazzi F,Ridolfi C,Capretti G,Mineri R,Todoric J,Zerbi A,Allavena P,Mantovani A,Marchesi F

    更新日期:2016-10-01 00:00:00

  • Value of exfoliative cytology for investigating bile duct strictures.

    abstract::The cause of a biliary tract stricture may be difficult to determine radiologically. Exfoliative biliary cytology was evaluated in 62 patients (median age 65 years, range 30-94) with biliary tract strictures presenting to the Hepatobiliary Unit between January 1984 and December 1989. Bile samples were taken during end...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.33.10.1408

    authors: Davidson B,Varsamidakis N,Dooley J,Deery A,Dick R,Kurzawinski T,Hobbs K

    更新日期:1992-10-01 00:00:00

  • Histamine release from gut mast cells from patients with inflammatory bowel diseases.

    abstract::Inflammatory mediators from intestinal mast cells may serve as initiators of acute and delayed inflammation. Mast cell histamine release was measured in 19 patients with inflammatory bowel diseases using gut mast cells from enzymatically dispersed endoscopic forceps biopsy specimens of macroscopically inflamed and nor...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.31.7.791

    authors: Nolte H,Spjeldnaes N,Kruse A,Windelborg B

    更新日期:1990-07-01 00:00:00