Abstract

Exploring the Potential of Endoscopic Examinations using the Kyoto Scoring System for Risk Evaluation of Gastric Carcinoma in Patients with Gastritis

Highlights

  • Helicobacter pylori (HP) is a gram-negative bacterium discovered by Barry Marshall and Robin Warren in 2005 [1]

  • There is a high potential for endoscopic screening using the Kyoto scoring system for risk evaluation of gastric carcinoma

  • It is well known that HP infection contributes to cause chronic gastritis, peptic ulcer, Mucosa-Associated Lymphoid Tissue (MALT) lymphoma, gastric cancer and idiopathic thrombocytopenia [2]

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Summary

Introduction

Helicobacter pylori (HP) is a gram-negative bacterium discovered by Barry Marshall and Robin Warren in 2005 [1]. Atrophic gastritis and intestinal metaplasia are risk factors for gastric ulcers and gastric cancer [3]. Cambodia, being a developing nation, is considered to be endemic to chronic gastritis due to HP. Cambodia doesn’t have enough resources for the screening of HP including skilled endoscopist and latest equipment. These situations lead to persistent high morbidity of HP in this country. Cambodia is considered to be endemic to chronic gastritis due to Helicobacter pylori (HP). After the Kyoto Global Consensus in 2015, risk evaluation of gastric carcinoma based on endoscopic findings with image-enhanced modalities and magnification allows diagnosis of gastritis with a high degree of accuracy. The Kyoto scoring system using five endoscopic features (atrophy, diffuse redness, intestinal metaplasia, enlarged folds, and nodularity) has been proposed as a simplified method

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