Association between Variables of Eating Habits and Gastric Trophic Changes in a Gastroenterology Institution in Medellín, Colombia

Authors

DOI:

https://doi.org/10.22516/25007440.1024

Keywords:

Eating habits, Atrophy, Metaplasia, Dysplasia

Abstract

Aim: To establish the relationship between consuming foods considered risk factors for gastric cancer and trophic changes in gastric mucosa.

Materials and methods: Cross-sectional study. We included patients older than 18 admitted for upper GI endoscopy with biopsies who adequately answered a survey of personal history and eating habits. Those with a history of gastric cancer or gastric surgical resection for any reason were excluded. The association between feeding variables and trophic changes in the gastric mucosa was estimated.

Results: In a population of 1,096 patients, the average age was 51 years (standard deviation [SD]: 15.5), and 59% were women. Trophic changes in the gastric mucosa were identified in 173 patients (15.8%). No statistical association was found between the independent variables of eating habits, obesity, and positive Helicobacter pylori versus the variable “trophic changes,” unlike the variable “family history of gastric cancer” (odds ratio [OR]: 1.49 95% confidence interval [CI]: 1.03-2.17, p = 0.036). One case of high-grade dysplasia was detected in the study population (0.91 cases in 1,000 patients).

Conclusions: No association was established between eating habits and trophic changes in the gastric mucosa in the studied population. A family history of gastric cancer is a statistically significant risk factor for developing atrophy, metaplasia, or dysplasia changes.

Downloads

Download data is not yet available.

Author Biographies

Lina María Roldán Delfino, Instituto Gastroclínico SAS

Médico de sedación. Medellín, Colombia.

Sandra Milena León Ramírez, Instituto Gastroclínico SAS

Instituto Gastroclínico S. A. S. Medellín, Colombia.

Luis Fernando Roldán Molina, Instituto Gastroclínico SAS

Gaastroenterólogo. Instituto Gastroclínico S. A. S. Medellín, Colombia.

Sebastian Fernando Niño Ramírez, Instituto Gastroclínico SAS

Instituto Gastroclínico S. A. S. Medellín, Colombia.

Andrés Felipe Arismendy López de Mesa, Instituto Gastroclínico SAS

Instituto Gastroclínico S. A. S. Medellín, Colombia.

Elsie Janeth Bejarano Rengifo, Instituto Gastroclínico SAS

Instituto Gastroclínico S. A. S. Medellín, Colombia.

Jorge Yamid Bolaños Ruales, Instituto Gastroclínico SAS

Instituto Gastroclínico S. A. S. Medellín, Colombia.

Sara Márquez Molina, Instituto Gastroclínico SAS

Instituto Gastroclínico S. A. S. Medellín, Colombia.

Edilberto Elias Nuñez Cabarcas, Instituto Gastroclínico SAS

Instituto Gastroclínico S. A. S. Medellín, Colombia.

Hilda María Pérez Useche, Instituto Gastroclínico SAS

Instituto Gastroclínico S. A. S. Medellín, Colombia.

Antonio José Restrepo Pelaez, Instituto Gastroclínico SAS

Instituto Gastroclínico S. A. S. Medellín, Colombia.

Carlos Ever Restrepo Tirado, Instituto Gastroclínico SAS

Instituto Gastroclínico S. A. S. Medellín, Colombia.

María Adelaida Saffon Abad, Instituto Gastroclínico SAS

Instituto Gastroclínico S. A. S. Medellín, Colombia.

Julio Eduardo Zuleta Muñoz, Instituto Gastroclínico SAS

Instituto Gastroclínico S. A. S. Medellín, Colombia.

Juan Nicolás Zuluaga Aguilar, Instituto Gastroclínico SAS

Instituto Gastroclínico S. A. S. Medellín, Colombia.

References

Lundberg JO, Carlström M, Weitzberg E. Metabolic Effects of Dietary Nitrate in Health and Disease. Cell Metab. 2018;28(1):9-22. https://doi.org/10.1016/j.cmet.2018.06.007

Hord NG, Tang Y, Bryan NS. Food sources of nitrates and nitrites: the physiologic context for potential health benefits. Am J Clin Nutr. 2009;90(1):1-10. https://doi.org/10.3945/ajcn.2008.27131

Song P, Wu L, Guan W. Dietary Nitrates, Nitrites, and Nitrosamines Intake and the Risk of Gastric Cancer: A Meta-Analysis. Nutrients. 2015;7(12):9872-95. https://doi.org/10.3390/nu7125505

Wroblewski LE, Peek RM. Helicobacter pylori, Cancer, and the Gastric Microbiota. En: Jansen M, Wright NA (editores). Stem Cells, Pre-neoplasia, and Early Cancer of the Upper Gastrointestinal Tract. Cham: Springer International Publishing; 2016. p. 393-408. https://doi.org/10.1007/978-3-319-41388-4_19

Oliveros Wilches R, Facundo Navia H, Bonilla Castañeda AD, Pinilla Morales RE. Factores de riesgo para cáncer gástrico: ¿cuál es su papel? Rev Colomb Gastroenterol. 2021;36(3):366-76. https://doi.org/10.22516/25007440.656

Wang F, Meng W, Wang B, Qiao L. Helicobacter pylori-induced gastric inflammation and gastric cancer. Cancer Lett. 2014;345(2):196-202. https://doi.org/10.1016/j.canlet.2013.08.016

Lahner E, Conti L, Annibale B, Corleto VD. Current Perspectives in Atrophic Gastritis. Curr Gastroenterol Rep. 2020;22(8):38. https://doi.org/10.1007/s11894-020-00775-1

Dong J, Thrift AP. Alcohol, smoking and risk of oesophago-gastric cancer. Best Pract Res Clin Gastroenterol. 2017;31(5):509-17. https://doi.org/10.1016/j.bpg.2017.09.002

Eusebi LH, Telese A, Marasco G, Bazzoli F, Zagari RM. Gastric cancer prevention strategies: A global perspective. J Gastroenterol Hepatol. 2020;35(9):1495-502. https://doi.org/10.1111/jgh.15037

Oliveros-wilches R, Grillo-Ardila CF, Vallejo-Ortega M, Gil-Parada F, Cardona-Tobón M, Páramo-Hernández D, et al. Guía de práctica clínica para la prevención primaria y secundaria y diagnóstico temprano de cáncer gástrico. Rev Colomb Cancerol. 2022;26(1):39-96. https://doi.org/10.35509/01239015.754

Yusefi AR, Bagheri Lankarani K, Bastani P, Radinmanesh M, Kavosi Z. Risk Factors for Gastric Cancer: A Systematic Review. Asian Pac J Cancer Prev. 2018;19(3):591-603. https://doi.org/10.22034/APJCP.2018.19.3.591

Li Q. Obesity and gastric cancer. Front Biosci. 2012;17(7):2383-90. https://doi.org/10.2741/4059

Thiel A, Mrena J, Ristimäki A. Cyclooxygenase-2 and Gastric Cancer. Cancer Metastasis Rev. 2011;30(3-4):387-95. https://doi.org/10.1007/s10555-011-9312-1

Lash JG, Genta RM. Adherence to the Sydney System guidelines increases the detection of Helicobacter gastritis and intestinal metaplasia in 400 738 sets of gastric biopsies. Aliment Pharmacol Ther. 2013;38(4):424-31. https://doi.org/10.1111/apt.12383

Rugge M, Meggio A, Pennelli G, Piscioli F, Giacomelli L, De Pretis G, et al. Gastritis staging in clinical practice: the OLGA staging system. Gut. 2007;56(5):631-6. https://doi.org/10.1136/gut.2006.106666

Asociación Médica Mundial. Declaración de Helsinki-Principios éticos para las investigaciones médicas en seres humanos [Internet]. Universidad de Navarra; 2013 [consultado el 4 de agosto de 2022]. Disponible en: https://rb.gy/3lqlc

Gobierno de Colombia. Resolución número 8430 de 1993, por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud [Internet]. Ministerio de Salud de Colombia; 1993 [consultado el 4 de agosto de 2022]. Disponible en: https://rb.gy/2xg9x

Machlowska J, Baj J, Sitarz M, Maciejewski R, Sitarz R. Gastric Cancer: Epidemiology, Risk Factors, Classification, Genomic Characteristics and Treatment Strategies. Int J Mol Sci. 2020;21(11):4012. https://doi.org/10.3390/ijms21114012

Tan MC, Mallepally N, Ho Q, Liu Y, El-Serag HB, Thrift AP. Dietary Factors and Gastric Intestinal Metaplasia Risk Among US Veterans. Dig Dis Sci. 2021;66(5):1600-10. https://doi.org/10.1007/s10620-020-06399-9

Shao L, Li P, Ye J, Chen J, Han Y, Cai J, et al. Risk of gastric cancer among patients with gastric intestinal metaplasia. Int J Cancer. 2018;143(7):1671-7. https://doi.org/10.1002/ijc.31571

Corso C, Aponte DM, Preciado J, Medina-Parra J, Sabbagh Sanvicente LC. Prevalencia y localización gástrica del Helicobacter pylori en pacientes con atrofia y metaplasia intestinal en una institución de alta complejidad en Colombia. Rev Colomb Gastroenterol. 2022;37(3):289-95. https://doi.org/10.22516/25007440.858

Oliveros R, Pinilla Morales RE, Facundo Navia H, Sánchez Pedraza R. Cáncer gástrico: una enfermedad prevenible. Estrategias para intervención en la historia natural. Rev Colomb Gastroenterol. 2019;34(2):177-89. https://doi.org/10.22516/25007440.394

Liu KSH, Wong IOL, Leung WK. Helicobacter pylori associated gastric intestinal metaplasia: Treatment and surveillance. World J Gastroenterol. 2016;22(3):1311-20. https://doi.org/10.3748/wjg.v22.i3.1311

Amieva M, Peek RM. Pathobiology of Helicobacter pylori-Induced Gastric Cancer. Gastroenterology. 2016;150(1):64-78. https://doi.org/10.1053/j.gastro.2015.09.004

Luu MN, Quach DT, Hiyama T. Screening and surveillance for gastric cancer: Does family history play an important role in shaping our strategy? Asia Pac J Clin Oncol. 2022;18(4):353-62. https://doi.org/10.1111/ajco.13704

Table 2. Eating habits in the studied population

Published

2023-09-27

How to Cite

Roldán Delfino, L. M., León Ramírez, S. M., Roldán Molina, L. F., Niño Ramírez, S. F., Arismendy López de Mesa, A. F., Bejarano Rengifo, E. J., … Zuluaga Aguilar, J. N. (2023). Association between Variables of Eating Habits and Gastric Trophic Changes in a Gastroenterology Institution in Medellín, Colombia. Revista Colombiana De Gastroenterología, 38(3), 304–310. https://doi.org/10.22516/25007440.1024

Issue

Section

Originals articles

Altmetric

Crossref Cited-by logo
Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
QR Code

Some similar items: