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A Study of High Risk Operational Link for Gastritis Assessment (OLGA) Stages in South Indian Subjects

Marie Moses Ambroise, Associate Professor, Department of Pathology, Pondicherry Institute of Medical Sciences, Puducherry 605014, India , Thara Keloth1 , Marie Moses Ambroise2 , Thomas Alexander3 , Susy S. Kurian4

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Indian Journal of Pathology: Research and Practice 7(6):p 776-781, June 2018. | DOI: DOI: http://dx.doi.org/10.21088/ijprp.2278.148X.7618.12

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Abstract

Background: The OLGA staging system which was developed in 2005 assesses the stage of gastric atrophy and also predicts the risk of gastric carcinoma development. High risk OLGA stages carry a significant risk for developing gastric carcinoma. A worldwide study of OLGA gastritis staging showed no cases of high risk OLGA stages in a centre from North India. The present study was undertaken to estimate the prevalence of high risk OLGA stages among dyspeptic patients in a South Indian population and also study the correlation with relevant clinico-pathological parameters. 

Materials and Methods: Ninety-six patients attending the Gastroenterology OPD with dyspepsia were studied . Gastric biopsies were collected according to the Sydney-Houston biopsy protocol and were assessed using the OLGA system.

Results: The prevalence rate of high risk OLGA stages (III& IV) in this study was 6.25% and that of low risk OLGA stages (0, I & II) was 93.75%. The prevalence rate of H.pylori in this study was 62%.

Conclusion: The prevalence rate of high risk OLGA stages was 6.25% in subjects with dyspepsia among this South Indian population.

Keywords: Atrophic Gastritis; Gastric Carcinoma; Helicobacter Pylori.

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DOI: DOI: http://dx.doi.org/10.21088/ijprp.2278.148X.7618.12

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