Sydney endoscopic classification of gastritis,clinical characteristics and Hp infection in outpatients with chronic gastritis
Objective:To explore Sydney endoscopic classification of gastritis,clinical characteristics and Helicobacter pylori(Hp)infection in outpatients with chronic gastritis.Methods:From August 2020 to August 2023,60 patients with chronic gastritis who underwent gastroscopy were selected as the research subjects.According to Sydney endoscopic classification of gastritis,the subjects were grouped.The patients'clinical characteristics and Hp infection status were analyzed.Results:Among the 60 patients,there were 7 cases of atrophic gastritis(11.67%),42 cases of non atrophic gastritis(70.00%),and 11 cases of special types(18.33%).Among them,non atrophic gastritis included 22 cases of erythematous exudative gastritis(36.67%),10 cases of flat erosive gastritis(16.67%),1 case of hypertrophic gastritis(1.67%),9 cases of hemorrhagic gastritis(15.00%),6 cases of reflux gastritis(10.00%),and 5 cases of protruding erosive gastritis(8.33%).Above results showed that the proportion of erythematous/exudative gastritis was the highest and the proportion of gastritis characterized by enlarged folds was the lowest.The proportion of males was relatively high,which was 53.33%.Most of the patients were aged 41-60,accounting for 55.00%.The majority of patients included were overweight,non-smokers,and non-drinkers.The proportion of patients with mild intestinal metaplasia was relatively high,which was 48.34%.In the detection of inflammatory activity,the proportion of normal patients was relatively high,but 3.33%of the patients had severe infiltration.33.33%of the patients had lymphoid follicles.A total of 37(61.67%)cases had Hp infection and the remaining 23(38.33%)cases without.Comparison of Hp infection in chronic gastritis patients with different Sydney endoscopic gastritis classifications:The Hp infection rate in non atrophic gastritis patients is significantly higher than that in atrophic gastritis and special types of patients(P<0.05).Conclusion:Among patients with different Sydney endoscopic subtypes of chronic gastritis,patients with erythematous/exudative gastritis are more common.Most of the patients are middle-aged and overweight.Besides,most patients have mild intestinal metaplasia.More than half of the patients have Hp infection.
Chronic gastritisOutpatientSydney endoscopic classification of gastritisClinical characteristicHelicobacter pylori infection
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