Does adding a cardia biopsy improve gastric intestinal metaplasia detection rate by the Sydney system protocol?

Soltani, G., Saberzadeh- Ardestani, B., Sotoudeh, M., Naseri -Moghaddam, S., Derakhshan, M. H., Saffar, H., Kasaeian, A., Chavoshi, M. and Sima, A. (2022) Does adding a cardia biopsy improve gastric intestinal metaplasia detection rate by the Sydney system protocol? Archives of Iranian Medicine, 25(6), pp. 394-398. (doi: 10.34172/aim.2022.63) (PMID:35943019)

Abstract

Background: The Sydney system offers a standard biopsy protocol for detection and follow-up of gastric preneoplastic lesions such as intestinal metaplasia (IM). The highest frequency of cardia-type gastric adenocarcinoma (GA) in Iran has been documented in the north-western part of the country. This study aims to investigate the effect of the addition of mucosal biopsies of gastric cardia to the standard Sydney protocol on the rate of detection of IM in the asymptomatic residents of this high-risk region for proximal gastric cancer. Methods: A retrospective new analysis was performed on the previous data obtained in cross-sectional endoscopic screening in 2000 as well as a biopsy study of 508 asymptomatic volunteer residents in Meshkinshahr district, Ardabil province. The screening study was conducted in a group of residents aged 40 years and older who did not have any previous GI or hemodynamic problems. Results: Intestinal metaplasia at the Sydney protocol sampling sites was detected in 107 samples belonging to 76 of the 508 (14.99%) volunteers. Twenty-one patients had IM at the cardia. Of these, five patients had IM-cardia (IM only at the cardia). Therefore, adding a cardia biopsy to the set of biopsies diagnosed five more IM cases which were not diagnosed on the standard Sydney protocol (P=0.062). Conclusion: The addition of a biopsy from the cardia to the Sydney protocol biopsy set does not seem to improve the frequency of detection of IM in the residents of this high-risk geographic area for proximal gastric carcinoma.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Derakhshan, Professor Mohammad

Creator Roles

Derakhshan, M. H.: Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Project administration, Resources, Validation, Visualization, Writing – original draft, Writing – review and editing

• Authors: Soltani, G., Saberzadeh- Ardestani, B., Sotoudeh, M., Naseri -Moghaddam, S., Derakhshan, M. H., Saffar, H., Kasaeian, A., Chavoshi, M., and Sima, A.
• College/School: College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
• Journal Name: Archives of Iranian Medicine
• Publisher: Academy of Medical Sciences of I.R. Iran
• ISSN: 1029-2977
• ISSN (Online): 1735-3947
• Published Online: 01 June 2022
• Copyright Holders: Copyright © 2022 The Authors
• First Published: First published in Archives of Iranian Medicine 25(6): 394-398
• Publisher Policy: Reproduced under a Creative Commons License