{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T10:33:16Z","timestamp":1744281196734,"version":"3.37.3"},"reference-count":48,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,9,25]],"date-time":"2018-09-25T00:00:00Z","timestamp":1537833600000},"content-version":"vor","delay-in-days":24,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Digest Diseases"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>The aim of this study was to assess the clinical characteristics and long\u2010term outcomes of group D patients (negative <jats:italic>H. pylori<\/jats:italic> antibodies and positive pepsinogen level).<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Group D patients were divided into two groups, that is, the limited endoscopic atrophic gastritis (EAG) group with EAG confined to the antrum and angle (C1 and C2) and the advanced EAG group with gastric body\u2010involved EAG (C3 to O3). We compared the progression of precursor lesions and the occurrence of gastric neoplasms between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Among 107 group D patients, the advanced EAG group (<jats:italic>n<\/jats:italic> = 60) was elder and had a lower pepsinogen I level and a lower pepsinogen I to II ratio (PGI\/II) than the limited EAG group (<jats:italic>n<\/jats:italic> = 47). Among the 52 patients who underwent a follow\u2010up endoscopy, three gastric neoplasms were detected (one in the limited and two in the advanced EAG groups). During a median follow\u2010up of 44 months, 10 (43.5%) patients in the limited and 13 (52.0%) in the advanced EAG groups showed EAG progression or newly occurred intestinal metaplasia. A family history of GC (odds ratio [OR] 44.974, 95% confidence interval [CI] 1.360\u20131487.087), a lower PGI\/II (OR 0.247, 95% CI 0.085\u20130.717) and a longer follow\u2010up duration (OR 1.832, 95% CI 1.200\u20132.796) increased the risk of progression.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>A family history of GC and low baseline PGI\/II were independently associated with an increased risk of progression of precursor lesions of GC.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1751-2980.12660","type":"journal-article","created":{"date-parts":[[2018,8,17]],"date-time":"2018-08-17T09:51:01Z","timestamp":1534499461000},"page":"529-539","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Long\u2010term outcome of group D patients with negative serum anti\u2010<i>Helicobacter pylori<\/i> antibody and positive serum pepsinogen test in healthy Koreans"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5580-8427","authenticated-orcid":false,"given":"Yoo Min","family":"Han","sequence":"first","affiliation":[{"name":"Department of Internal Medicine and Healthcare Research Institute Seoul National University Hospital Healthcare System Gangnam Center  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su Jin","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Healthcare Research Institute Seoul National University Hospital Healthcare System Gangnam Center  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji Min","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Healthcare Research Institute Seoul National University Hospital Healthcare System Gangnam Center  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Changhyun","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Healthcare Research Institute Seoul National University Hospital Healthcare System Gangnam Center  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joo Sung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Healthcare Research Institute Seoul National University Hospital Healthcare System Gangnam Center  Seoul Republic of Korea"},{"name":"Department of Internal Medicine and Liver Research Institute Seoul National University College of Medicine  Seoul Republic of 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