Toyoshima O, Nishizawa T, Yoshida S, Aoki T, Nagura F, Sakitani K, Tsuji Y, Nakagawa H, Suzuki H, Koike K. Comparison of endoscopic gastritis based on Kyoto classification between diffuse and intestinal gastric cancer. World J Gastrointest Endosc 2021; 13(5): 125-136 [PMID: 34046150 DOI: 10.4253/wjge.v13.i5.125]
Corresponding Author of This Article
Osamu Toyoshima, MD, PhD, Director, Doctor, Department of Gastroenterology, Toyoshima Endoscopy Clinic, 6-17-5 Seijo, Setagaya-ku, Tokyo 157-0066, Japan. t@ichou.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. May 16, 2021; 13(5): 125-136 Published online May 16, 2021. doi: 10.4253/wjge.v13.i5.125
Table 1 Endoscopic gastritis based on Kyoto classification of Helicobacter pylori-infected patients with vs without gastric cancer
Gastric cancer (+)
Cancer (-)
Univariate analysis
Multivariate analysis
Odds ratio
95%CI
P value
Odds ratio
95%CI
P value
n
132
367
Age, mean (SD), yr
66.4 (12.4)
50.9 (12.4)
1.099
1.078-1.120
< 0.001
Age ≥ 65 yr, %
60.6
15.3
8.544
5.446-13.405
< 0.001
4.010
2.436-6.603
< 0.001
Male sex, %
55.3
47.7
1.357
0.910-2.024
0.134
Atrophy score, mean (SD)
1.871 (0.336)
1.411 (0.642)
6.173
3.635-10.486
< 0.001
2.800
1.583-4.954
< 0.001
Intestinal metaplasia score, mean (SD)
1.402 (0.809)
0.624 (0.878)
2.570
2.031-3.253
< 0.001
1.567
1.188-2.067
0.001
Enlarged folds score, mean (SD)
0.364 (0.483)
0.441 (0.497)
0.723
0.480-1.090
0.121
Nodularity score, mean (SD)
0.152 (0.360)
0.387 (0.488)
0.283
0.168-0.476
< 0.001
0.508
0.282-0.913
0.024
Diffuse redness score, mean (SD)
1.841 (0.507)
1.823 (0.466)
1.085
0.706-1.667
0.709
Kyoto score, mean (SD)
5.629 (1.149)
4.687 (1.637)
1.568
1.342-1.831
< 0.001
Table 2 Endoscopic gastritis based on Kyoto classification of Helicobacter pylori-infected patients with diffuse-type gastric cancer vs without gastric cancer
Diffuse-type cancer (+)
Cancer (-)
Univariate analysis
Multivariate analysis
Odds ratio
95%CI
P value
Odds ratio
95%CI
P value
n
39
367
Age, mean (SD), yr
58.00 (13.00)
50.88 (12.41)
1.044
1.018-1.072
0.001
Age ≥ 65 yr, %
28.2
15.3
2.182
1.027-4.634
0.042
1.434
0.633-3.246
0.388
Male sex, %
38.5
47.7
0.686
0.348-1.349
0.275
Atrophy score, mean (SD)
1.692 (0.468)
1.411 (0.642)
2.327
1.223-4.428
0.010
2.327
1.223-4.428
0.010
Intestinal metaplasia score, mean (SD)
0.974 (0.903)
0.624 (0.878)
1.516
1.065-2.158
0.021
1.313
0.905-1.906
0.152
Enlarged folds score, mean (SD)
0.564 (0.502)
0.441 (0.497)
1.638
0.842-3.186
0.146
Nodularity score, mean (SD)
0.282 (0.456)
0.387 (0.488)
0.622
0.300-1.290
0.202
Diffuse redness score, mean (SD)
1.821 (0.556)
1.823 (0.466)
0.990
0.495-1.978
0.976
Kyoto score, mean (SD)
5.333 (1.402)
4.687 (1.637)
1.306
1.044-1.632
0.019
Table 3 Endoscopic gastritis based on Kyoto classification of Helicobacter pylori-infected patients with intestinal-type gastric cancer vs without gastric cancer
Intestinal-type cancer (+)
Cancer (-)
Univariate analysis
Multivariate analysis
Odds ratio
95%CI
P value
Odds ratio
95%CI
P value
n
93
367
Age, mean (SD), yr
69.86 (10.29)
50.88 (12.41)
1.138
1.107-1.169
< 0.001
Age ≥ 65 yr, %
74.2
15.3
15.967
9.261-27.527
< 0.001
6.220
3.394-11.400
< 0.001
Male sex, %
62.4
47.7
1.818
1.140-2.900
0.012
1.794
0.955-3.372
0.069
Atrophy score, mean (SD)
1.946 (0.227)
1.411 (0.642)
15.312
6.147-38.144
< 0.001
6.167
2.321-16.382
< 0.001
Intestinal metaplasia score, mean (SD)
1.581 (0.697)
0.624 (0.878)
3.368
2.499-4.539
< 0.001
1.683
1.166-2.430
0.005
Enlarged folds score, mean (SD)
0.280 (0.451)
0.441 (0.497)
0.491
0.299-0.808
0.005
0.453
0.237-0.867
0.017
Nodularity score, mean (SD)
0.097 (0.297)
0.387 (0.488)
0.170
0.083-0.348
< 0.001
0.323
0.141-0.742
0.008
Diffuse redness score, mean (SD)
1.849 (0.488)
1.823 (0.466)
1.135
0.681-1.891
0.626
Kyoto score, mean (SD)
5.753 (1.007)
4.687 (1.637)
1.696
1.407-2.004
< 0.001
Table 4 Endoscopic gastritis based on Kyoto classification of Helicobacter pylori-infected patients with diffuse- vs intestinal-type gastric cancer
Diffuse-type
Intestinal-type
Univariate analysis
Multivariate analysis
Odds ratio
95%CI
P value
Coefficient
95%CI
Odds ratio
95%CI
P value
n
39
93
Age, mean (SD), yr
58.00 (13.00)
69.86 (10.29)
1.091
1.051-1.132
< 0.001
Age ≥ 65 yr, %
28.2
74.2
7.318
3.166-16.917
< 0.001
1.983
1.045, 2.921
7.263
2.843-18.553
< 0.001
Male sex, %
38.5
62.4
2.651
1.228-5.724
0.013
1.021
0.069, 1.973
2.776
1.071-7.193
0.036
Atrophy score, mean (SD)
1.692 (0.468)
1.946 (0.227)
7.822
2.530-24.188
< 0.001
0.727
-0.927, 2.381
2.069
0.396-10.816
0.389
Intestinal metaplasia score, mean (SD)
0.974 (0.903)
1.581 (0.697)
2.473
1.544-3.959
< 0.001
0.678
0.128, 1.228
1.970
1.136-3.413
0.016
Enlarged folds score, mean (SD)
0.564 (0.502)
0.280 (0.451)
0.300
0.138-0.653
0.002
-1.308
-2.261, -0.356
0.270
0.104-0.701
0.007
Nodularity score, mean (SD)
0.282 (0.456)
0.097 (0.297)
0.273
0.102-0.726
0.009
-0.237
-1.621, 1.147
0.789
0.198-3.149
0.737
Diffuse redness score, mean (SD)
1.821 (0.556)
1.849 (0.488)
1.116
0.545-2.288
0.764
Kyoto score, mean (SD)
5.333 (1.402)
5.753 (1.007)
1.355
0.987-1.860
0.060
Citation: Toyoshima O, Nishizawa T, Yoshida S, Aoki T, Nagura F, Sakitani K, Tsuji Y, Nakagawa H, Suzuki H, Koike K. Comparison of endoscopic gastritis based on Kyoto classification between diffuse and intestinal gastric cancer. World J Gastrointest Endosc 2021; 13(5): 125-136