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Clinical Chemistry and Laboratory Medicine (CCLM)

Published in Association with the European Federation of Clinical Chemistry and Laboratory Medicine (EFLM)

Editor-in-Chief: Plebani, Mario

Ed. by Gillery, Philippe / Greaves, Ronda / Lackner, Karl J. / Lippi, Giuseppe / Melichar, Bohuslav / Payne, Deborah A. / Schlattmann, Peter


IMPACT FACTOR 2018: 3.638

CiteScore 2018: 2.44

SCImago Journal Rank (SJR) 2018: 1.191
Source Normalized Impact per Paper (SNIP) 2018: 1.205

Online
ISSN
1437-4331
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Volume 48, Issue 9

Issues

Prevalence of atrophic gastritis in dyspeptic patients in Piedmont. A survey using the GastroPanel test

Lucio Lombardo / Rosalia Leto / Giancarlo Molinaro / Marco Migliardi / Nicoletta Ravarino / Rodolfo Rocca / Bruno Torchio
Published Online: 2010-07-07 | DOI: https://doi.org/10.1515/CCLM.2010.256

Abstract

Background: Chronic atrophic gastritis (CAG) is a precursor of the intestinal type of gastric cancer, the second leading cause of cancer-related death worldwide. GastroPanel is a recently marketed serological kit for the non-invasive diagnosis of CAG, defined by some authors “even more reliable than biopsy histology”. The goal of this study was 1) to evaluate the agreement between the serum gastric profile provided by GastroPanel (PGI, PGII, G-17, AbHp) and histology over CAG diagnosis, and 2) to evaluate the prevalence of CAG by means of GastroPanel in a Northern Italian dyspeptic population.

Methods: Basal blood samples for GastroPanel parameters evaluation (Biohit Plc, Finland) were collected after an overnight fast from 1387 dyspeptic patients (age range: 18–80 years; F 704). Gastroscopy with two biopsies each of the antrum and corpus was offered to a group of the first 400 consecutive patients (age 18–80 years, F 214) to compare the results of histology and GastroPanel in CAG.

Results: Agreement between GastroPanel and histology for corpus-prevalent CAG was 94%, with a sensitivity and specificity of 80% and 96%, respectively. In our series of 1387 dyspeptic patients, the prevalence of corpus-prevalent CAG, of antral-prevalent CAG and of multifocal CAG (antrum+ corpus) was 10.7%, 3.6% and 2.4%, respectively. Out of the 34 patients with multifocal atrophic gastritis, 12% were under 30 years of age.

Conclusions: GastroPanel is a reliable non-invasive test for diagnosis of CAG and deserves consideration for current use in clinical practice as a valuable diagnostic tool.

Clin Chem Lab Med 2010;48:1327–32.

Keywords: atrophic gastritis; dyspepsia; gastrin-17; Gastro-Panel; helicobacter pylori; pepsinogen I; pepsinogen II

About the article

Corresponding author: Dr. Lucio Lombardo, Department of Gastroenterology, Mauriziano U.I Hospital, Corso Turati 64, 10128 Turin, Italy Phone: +39 11 5082537, Cell: +39 3331339417, Fax: +39 11 5082557,


Received: 2009-12-03

Accepted: 2010-03-15

Published Online: 2010-07-07

Published in Print: 2010-09-01


Citation Information: Clinical Chemistry and Laboratory Medicine, Volume 48, Issue 9, Pages 1327–1332, ISSN (Online) 1437-4331, ISSN (Print) 1434-6621, DOI: https://doi.org/10.1515/CCLM.2010.256.

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©2010 by Walter de Gruyter Berlin New York.Get Permission

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