Predictive findings for Helicobacter pylori-uninfected, -infected and -eradicated gastric mucosa: Validation study

doi:10.3748/wjg.v19.i27.4374

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Jul 21, 2013 (publication date) through May 19, 2026

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World Journal of Gastroenterology

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1007-9327

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World J Gastroenterol. Jul 21, 2013; 19(27): 4374-4379
Published online Jul 21, 2013. doi: 10.3748/wjg.v19.i27.4374

Table 1 Diagnostic odds ratios of endoscopic findings in the diagnosis of three groups of Helicobacter pylori infection status

Endoscopic finding	H. pylori
	Uninfected	Infected	Eradicated
RAC	11.5 (3.73-35.1)	0.03 (0.00-0.14)^a	1.65 (0.61-4.47)^a
Linear erythema	24.5¹ (4.12-146)	0.05¹ (0.00-0.83)^a	0.18 (0.00-1.20)^a
Hemorrhage	4.11 (1.54-11.0)	0.03 (0.00-0.19)^a	2.52 (0.92-6.95)^a
Fundic gland polyp	34.5¹ (1.89-632)	0.10¹ (0.01-1.81)^a	0.15¹ (0.01-2.81)^a
Atrophic change	0.01 (0.00-0.06)	8.67¹ (2.11-35.6)^a	32.4¹ (1.87-562)^a
Rugal hyperplasia	0.02¹ (0.00-0.34)	15.8 (4.86-51.4)^a	0.66 (0.22-2.03)
Edema	0.10 (0.03-0.31)	14.2 (4.52-44.1)^a	0.66 (0.24-1.81)
Spotty erythema	0.09 (0.00-0.60)	11.5 (3.03-42.7)^a	0.35 (0.00-1.54)
Exudate	0.27 (0.00-1.18)	3.52 (1.16-11.6)^a	0.77 (0.21-2.93)
Xanthoma	0.86 (0.22-3.46)	2.45 (0.64-9.29)	0.30 (0.00-2.02)
Mottled patchy erythema	0.07¹ (0.00-1.17)	0.07¹ (0.00-1.17)	103¹ (5.64-1888)^a

Values of odds ratios (95%CI) are shown.

¹Odds ratios were estimated using the substitution formula. 0.5 was added to all cell frequencies before calculation.

^aP < 0.05 vs uninfected. RAC: Regular arrangement of collecting venules; H. pylori: Helicobacter pylori.

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Table 2 Inter-observer agreement for the 11 endoscopic findings evaluated

Endoscopic finding	Kappa value
RAC	0.63
Linear erythema	0.51
Hemorrhage	0.79
Fundic gland polyp	0.93
Atrophic change	0.74
Rugal hyperplasia	0.49
Edema	0.58
Spotty erythema	0.47
Exudate	0.46
Xanthoma	0.19
Mottled patchy erythema	0.75

RAC: Regular arrangement of collecting venules.

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Citation: Watanabe K, Nagata N, Nakashima R, Furuhata E, Shimbo T, Kobayakawa M, Sakurai T, Imbe K, Niikura R, Yokoi C, Akiyama J, Uemura N. Predictive findings for Helicobacter pylori-uninfected, -infected and -eradicated gastric mucosa: Validation study. World J Gastroenterol 2013; 19(27): 4374-4379
URL: https://www.wjgnet.com/1007-9327/full/v19/i27/4374.htm
DOI: https://dx.doi.org/10.3748/wjg.v19.i27.4374

Watanabe K, Nagata N, Nakashima R, Furuhata E, Shimbo T, Kobayakawa M, Sakurai T, Imbe K, Niikura R, Yokoi C, Akiyama J, Uemura N. Predictive findings for Helicobacter pylori-uninfected, -infected and -eradicated gastric mucosa: Validation study. World J Gastroenterol 2013; 19(27): 4374-4379 [PMID: 23885149 DOI: 10.3748/wjg.v19.i27.4374]

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