Author:
Wei Cunsheng,Tan Chang,Zhang Xuemei,Shen Xin,Xu Zongliang,Li Junrong,Xu Gelin
Abstract
Abstract
Background and purpose
Chronic gastritis, especially that caused by helicobacter pylori (HP) infection, has been associated with increased risk of ischemic stroke. But the relationship between chronic gastritis and cerebral small vessel disease (CSVD) remains largely undetermined. This study aimed to determine the potential predictors for CSVD, with chronic gastritis and its proxies as alternatives.
Method
Patients aged 18 years or older with indications for electronic gastroscopy were enrolled. Presence of CSVD was evaluated with brain magnetic resonance imaging (MRI) results. Degree of CSVD was scored according to established criteria. Logistic regression analysis was used for identifying possible risk factors for CSVD.
Results
Of the 1191 enrolled patients, 757 (63.6%) were identified as with, and 434 (36.4%) as without CSVD. Multivariate analysis indicated that patients with chronic atrophic gastritis had an increased risk for CSVD than those without (adjusted odds ratio = 1.58; 95% CI, 1.08–2.32; P < 0.05).
Conclusions
Chronic atrophic gastritis is associated with the presence of CSVD. We should routinely screen the presence of CSVD for patients with chronic atrophic gastritis.
Funder
the Fund of Nanjing Medical Science and technique Development Foundation
Jiangning District Science and Technology Huimin Project
Publisher
Springer Science and Business Media LLC
Subject
Gastroenterology,General Medicine