Endoscopic Diagnosis of Gastritis Is Difficult

Gastritis Diagnosis: Key Findings from Recent Study

https://www.helicojournal.org/m/journal/view.php?number=232

Study Overview

In this study the authors showed that the overall agreement with standard endoscopic diagnoses was 56 percent.

Diagnostic Accuracy by Gastritis Type

The correct answer for each question was:

• 56 percent for erosive gastritis

• 58 percent for hypertrophic gastritis

• 60 percent for atrophic gastritis

• 52 percent for metaplastic gastritis

Challenges with Superficial and Nodular Gastritis

In the superficial gastritis case, the ratio of correct answer was 24 percent, which was lowest among all the questions. Forty-four percent of all participants answered superficial gastritis as hemorrhagic gastritis. These results reveal that hemorrhagic gastritis is diagnosed inappropriately and needs further attention to prevent patients from unnecessary worries and misunderstandings.

The correct answer for nodular gastritis was 42 percent, which is relatively low as well. Considering the significance of nodular gastritis as a risk factor for gastric cancer, education for endoscopist to detect nodular gastritis is indispensable.

Conclusion and Next Steps