Abstract
Objective: The aim of this study was if the classification of chronic gastritis without local lesion would lead to improvement of gastric cancer diagnosis in upper gastrointestinal (GI)series. Methods: This study included 6,583 cases with advanced endoscopic diagnosis after upper GI series. The patients were divided into 2 groups: patients who had endoscopic diagnosis with gastric cancer after the radiographic findings of local lesion, and patients who had endoscopic diagnosis with gastric cancer after the radiographic classification of chronic gastritis. Then, we analyzed the diagnostic sensitivity, respectively. Results: A total of 44 patients were endoscopically diagnosed with gastric cancer after the radiographic findings of local lesion. The sensitivity was 0.74%. Eleven patients were diagnosed with gastric cancer in the advanced endoscopy after the radiographic classification of chronic gastritis. The sensitivity was 1.63%. Conclusion: We concluded that the classification of chronic gastritis leads to diagnostic improvement of gastric cancer in upper GI series.