Search JIM Advanced Search

Journal of Chinese Integrative Medicine ›› 2011, Vol. 9 ›› Issue (1): 1-4.doi: 10.3736/jcim20110101

• Commentary •     Next Articles

Pay attention to follow-up and monitoring of patients with gastric epithelial dysplasia associated with chronic atrophic gastritis

Xu-dong Tang, Zhen-hua Li, Ping Wang, Bao-shuang Li   

  1. Department of Gastroenterology, Xiyuan Hospital, China Academy of Traditional Chinese Medicine, Beijing 100091, China
  • Received:2010-08-25 Accepted:2010-11-08 Online:2011-01-20 Published:2011-01-15
  • Contact: Tang Xu-dong

Because of the close relationship with stomach cancer and higher rates of carcinoma, gastric epithelial dysplasia associated with chronic atrophic gastritis is considered the most important precancerous lesion of stomach cancer. Due to the absence of recognized treatment methods, periodical follow-up and monitoring were considered an effective method to prevent the occurrence of gastric cancer. Currently, there are numerous areas requiring attention; the authors provide some suggestions on the recognition and key technologies for follow-up and re-examination.

Key words: gastritis, atrophic, hyperplasia, precancerous conditions, follow-up, monitoring

[1] Lin SR, Zhang L . Research progress of correlation between Helicobacter pylori and stomach cancer[J]. Zhonghua Yi Xue Za Zhi, 2004,84(14):1210-1211
林三仁, 张莉 . 幽门螺杆菌与胃癌关系的研究进展[J]. 中华医学杂志, 2004,84(14):1210-1211
[2] Correa P . Human gastric carcinogenesis: a multistep and multifactorial process — First American Cancer Society Award Lecture on Cancer Epidemiology and Prevention[J]. Cancer Res, 1992,52(24):6735-6740
[3] Genta RM . Atrophy, metaplasia and dysplasia: are they reversible[J]. Ital J Gastroenterol Hepatol, 1998,30(Suppl 3):S324-S325
[4] Genta RM, Rugge M . Gastric precancerous lesions: heading for an international consensus[J]. Gut, 1999,45(Suppl 1):15-18
doi: 10.1136/gut.45.1.15
[5] Rugge M, Genta RM . Staging and grading of chronic gastritis[J]. Hum Pathol, 2005,36(3):228-233
doi: 10.1016/j.humpath.2004.12.008
[6] Lauwers GY . Defining the pathologic diagnosis of metaplasia, atrophy, dysplasia, and gastric adenocarcinoma[J]. J Clin Gastroenterol, 2003,36(5 Suppl):S37-S43
doi: 10.1097/00004836-200305001-00007
[7] Chinese Society of Gastroenterology . Chinese consensus on chronic gastritis[J]. Zhonghua Xiao Hua Za Zhi, 2007,27(1):45-50
中华医学会消化病学分会. 中国慢性胃炎共识意见(2006)[J]. 中华消化杂志, 2007,27(1):45-50
[8] Guan RZ, Liu WT, Wang BM, Yang YL, Lu ZS, Jiang K . The appreciation of endoscope detection of stomach mucosa non-typical proliferation and intestinal metaplasia[J]. Wei Chang Bing Xue He Gan Bing Xue Za Zhi, 2008,17(2):136-138
管仁珍, 刘文天, 王邦茂, 杨玉龙, 吕宗舜, 姜葵 . 胃黏膜不典型增生和肠化生的内镜监测评价[J]. 胃肠病学和肝病学杂志, 2008,17(2):136-138
[9] Chen X, Zhang ZQ, Wan J, Zhang JP, Wang YH, Fu YH . Long-term follow-up study on gastric epithelial dysplasia[J]. Zhonghua Xiao Hua Za Zhi, 2003,23(3):192-193
陈孝, 张子其, 万军, 张建平, 王亚红, 付永和 . 胃黏膜上皮细胞异型增生的长期随访研究[J]. 中华消化杂志, 2003,23(3):192-193
[10] Farinati F, Rugge M, Di Mario F . Early and advanced gastric cancer in the follow-up of moderate and severe gastric dysplasia patients. A prospective study. I.G.G.E.D. — Interdisciplinary Group on Gastric Epithelial Dysplasia[J]. Endoscopy, 1993,25(4):261-264
doi: 10.1055/s-2007-1010310
[11] Dai J, Zhang L, Shi R, Hu YB, Mo JZ . Comparison between endoscopic and pathological diagnosis in chronic gastritis[J]. Wei Chang Bin Xue, 2004,9(3):164-166
戴军, 张林, 施尧, 胡运彪, 莫剑忠 . 慢性胃炎内镜与病理诊断误差的探讨[J]. 胃肠病学, 2004,9(3):164-166
[12] Wang YB, Yang YQ, Liu H, Li GZ, Sun P . Comparative analysis on endoscopic and pathologic diagnosis of chronic atrophic gastritis[J]. Shi Jie Hua Ren Xiao Hua Za Zhi, 2005,13(12):1484-1485
王玉波, 杨玉琼, 刘海, 李国柱, 孙平 . 慢性萎缩性胃炎内镜表现与病理诊断对比分析[J]. 世界华人消化杂志, 2005,13(12):1484-1485
[13] Dong LH, Mao YL, Zhang L, Ma JH . Investigation on relationship between endoscopic and pathological diagnosis of intestinal metaplasia[J]. Zhongguo Nei Jing Za Zhi, 2007,13(11):1127-1129
董来华, 茅育磊, 张黎, 马军红 . 胃粘膜肠上皮化生的内镜与病理诊断的相关性研究[J]. 中国内镜杂志, 2007,13(11):1127-1129
[14] Chinese Society of Digestive Endoscopy. Trial on treatment and typing or grading chronic gastritis under endoscopies[J]. Zhonghua Xiao Hua Nei Jing Za Zhi, 2004,21(2):77-78
中华医学会消化内镜学分会. 慢性胃炎的内镜分型分级标准及治疗的试行意见[J]. 中华消化内镜杂志, 2004,21(2):77-78
[15] Yu ZL, Li P, Zhang ST, Yu YZ, Wu YD, Ji M, Yu L, Liang XM, Niu YL, Wang HY, Zhang CH, Chen GY, Liu XZ . The correlativity between endoscopic and pathological diagnosis of chronic gastritis[J]. Zhonghua Xiao Hua Nei Jing Za Zhi, 2004,21(2):79-82
于中麟, 李鹏, 张澍田, 于永征, 吴咏冬, 冀明, 俞力, 梁晓梅, 牛应林, 王海燕, 张长淮, 陈光勇, 刘学宗 . 慢性胃炎内镜表现和病理的相关性研究[J]. 中华消化内镜杂志, 2004,21(2):79-82
[16] Li P, Zhang ST . Endoscopic diagnostic criteria and evaluation of chronic gastritis[J]. Lin Chuang Xiao Hua Bing Za Zhi, 2006,18(3):136-138
李鹏, 张澍田 . 慢性胃炎的内镜诊断标准及评价[J]. 临床消化病杂志, 2006,18(3):136-138
[17] Si JM, Sun LM, Fan YJ, Wang LJ . Trial of a novel endoscopic tattooing biopsy forceps on animal model[J]. World J Gastroenterol, 2005,11(12):1859-1861
doi: 10.3748/wjg.v11.i12.1859
[18] Rugge M, Leandro G, Farinati F, Di Mario F, Sonego F, Cassaro M, Guido M, Ninfo V . Gastric epithelial dyaplasia. How clinicopathologic background relates to management[J]. Cancer, 1995,76(3):376-382
doi: 10.1002/(ISSN)1097-0142
[19] Rugge M, Farinati F, Baffa R, Sonego F, Di Mario F, Leandro G, Valiante F . Gastric epithelial dysplasia in the natural history of gastric cancer: a multicenter prospective follow-up study[J]. Gastroenterology, 1994,107(5):1288-1296
doi: 10.1016/0016-5085(94)90529-0
[20] Hu JL, Lin YF, Liu J, Sun YX, Qian ZC, Fan JC, Wu KF . Quantitative study of multiple biomarkers and fuzzy discrimination in patients with gastric of malignancy dysplasia[J]. Zhonghua Xiao Hua Za Zhi, 1996,16(1):14-17
胡家露, 林一帆, 刘杰, 孙永兴, 钱宗才, 范金城, 吴可法 . 胃粘膜异型增生多项生物标志定量观察及癌变概率模糊判别研究[J]. 中华消化杂志, 1996,16(1):14-17
[21] Lu B, Huang X . Intervention and monitoring of gastric precancerous lesions[J]. Huan Qiu Zhong Yi Yao, 2009,( 4):286-289
吕宾, 黄宣 . 胃癌前病变的监测与干预[J]. 环球中医药, 2009,( 4):286-289
[1] Yi Chen, De-yu Fu, Yu Chen, Yan-ming He, Xiao-dong Fu, Yan-qiu Xu, Yi Liu, Xiao-tao Feng, Teng Zhang, Wen-jian Wang. Effects of Chinese herbal medicine Yiqi Huaju Formula on hypertensive patients with metabolic syndrome: A randomized, placebo-controlled trial. Journal of Chinese Integrative Medicine, 2013, 11(3): 184-194.
[2] Fu-feng Li, Jie Zhao, Peng Qian, Yi-qin Wang, Jing-jing Fu, Zhu-mei Sun, Hai-xia Yan, Li Yang. Metabolite changes in the greasy tongue coating of patients with chronic gastritis. Journal of Chinese Integrative Medicine, 2012, 10(7): 757-765.
[3] Bao Tan, Hai-lian Shi, Guang Ji, Lan Lu, Ai-li Cao, Song-shan Shi, Jian-qun Xie. Antiproliferative effects of essential oil of a compound Chinese herbal medicine Weiqi Decoction on AGS cells. Journal of Chinese Integrative Medicine, 2011, 9(5): 558-564.
[4] Wu-xuan Mei, Shao-xian Lao, Na Yu, Zheng Zhou, Lie-ping Huang, Bin Hu. Relationship between gene expressions of aquaporin 3 and 4 and various degrees of spleen-stomach dampness-heat syndrome in chronic superficial gastritis. Journal of Chinese Integrative Medicine, 2010, 8(2): 111-115.
[5] TIAN Yun, QIN Lan, NI Ke-zhong. Clinical observation of Zhihua Decoction in treatment of atrophic gastritis complicated by intestinal metaplasia and dysplasia: a report of 78 cases. Journal of Chinese Integrative Medicine, 2008, 6(2): 194-196.
[6] Zhi-feng Zhang, Jian Ying, Jia-tuo Xu, Xue-yong Shen, Mei-yu Sui, Yun Wu, Zhu-juan Yan. Correlation analysis of infrared radiant intensity between hyperplastic breast tissue and tongue surface in patients with hyperplasia of mammary glands. Journal of Chinese Integrative Medicine, 2007, 5(6): 625-629.
[7] Yi-qin Wang, Fu-feng Li, Wen-jing Wang, Li-yu Zhao, Li Guo, Hui-fang Wang. Serum proteomics study of chronic gastritis with dampness syndrome in traditional Chinese medicine. Journal of Chinese Integrative Medicine, 2007, 5(5): 514-516.
[8] Sheng-fang Hu, Hong-feng Chen, Qian-wen Rong. Assessing breast cancer risk in women with mammary hyperplasia of different syndromes using mammography. Journal of Chinese Integrative Medicine, 2007, 5(2): 195-.
[9] Jie Wang, Yong-xi Yuan, Duan Cai. Treatment of cyclomastopathy with magnetic sticker. Journal of Chinese Integrative Medicine, 2006, 4(6): 651-652.
[10] Yong-gang Wang, Xi Huang. Correlation between blood pressure variability and target organ damage in patients with hypertension: Research progress and strategies. Journal of Chinese Integrative Medicine, 2006, 4(2): 211-214.
[11] Yao-rong An, Yong-qi Liu. Application of molecular immunologic technique in study of Chinese integrative medicine. Journal of Chinese Integrative Medicine, 2005, 3(2): 91-94.
[12] Jin-yu Xia, Yao-yong Zhou, You-yun Zhao. Relationship between hepatitis B virus in gastric mucosa and syndrome of disharmony between liver and stomach in patients with chronic hepatitis B. Journal of Chinese Integrative Medicine, 2005, 3(1): 19-22.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] Dong Yang, Yong-ping Du, Qing Shen, Wei Chen, Yan Yu, Guang-lei Chen. Expression of alpha-smooth muscle actin in renal tubulointerstitium in patients with kidney collateral stasis. Journal of Chinese Integrative Medicine, 2008, 6(1): 41-44
[2] Daniel Weber, Janelle M Wheat, Geoffrey M Currie. Inflammation and cancer: Tumor initiation, progression and metastasis,and Chinese botanical medicines. Journal of Chinese Integrative Medicine, 2010, 8(11): 1006-1013
[3] Peng-fei Gao, Kenji Watanabe. Introduction of the World Health Organization project of the International Classification of Traditional Medicine. Journal of Chinese Integrative Medicine, 2011, 9(11): 1161-1164
[4] Yi Chen, Wen-jian Wang. Relationships between insulin resistant and hypertension and traditional Chinese medicine intervention. Journal of Chinese Integrative Medicine, 2010, 8(12): 1114-1118
[5] Kai Qu, Tian-fang Wang, Yan Zhao, Xiao-lin Xue, Xiu-yan Wu, Hua-liang Deng, Lu Yang, Li-liYu , Hong Yue, Qing-guo Wang. Common syndrome factors of traditional Chinese medicine in chronic renal failure based on the questionnaire investigation among experts. Journal of Chinese Integrative Medicine, 2010, 8(12): 1147-1152
[6] Mei-jun Lü, Hui-yong Zhang, Zhe Zhang, Guan-lin Yang. Measurement of health-related quality of life in coronary heart disease: A review. Journal of Chinese Integrative Medicine, 2011, 9(12): 1277-1285
[7] Shuo Zhang , Hong-cai Shang. Correlation between traditional Chinese medicine syndromes and omics: A literature review. Journal of Chinese Integrative Medicine, 2011, 9(12): 1286-1291
[8] Qin-hui Fu, Jian Pei, Jian-rong Hui, Yi Song . Studies on dynamic changes in traditional Chinese medicine syndrome patterns for stroke using data-driven and model-driven approaches: A review. Journal of Chinese Integrative Medicine, 2011, 9(12): 1292-1300
[9] Jia Guo, Li-na Wang, Dong Li. Exploring the effects of Chinese medicine in improving uterine endometrial blood flow for increasing the successful rate of in vitro fertilization and embryo transfer. Journal of Chinese Integrative Medicine, 2011, 9(12): 1301-1306
[10] Jian-sheng Li, Su-yun Li, Xue-qing Yu, Yang Xie. Bufei Yishen Granule combined with acupoint-sticking therapy in patients with stable chronic obstructive pulmonary disease: Study protocol of a multicenter, randomized, double-blind, active-controlled trial. Journal of Chinese Integrative Medicine, 2011, 9(12): 1312-1318