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Clinical and endoscopic features of Chinese reflux esophagitis patients 被引量:12

Clinical and endoscopic features of Chinese reflux esophagitis patients
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摘要 AIM: To analyze the clinical and endoscopic features of Chinese patients with reflux esophagitis (RE). METHODS: A total of 1405 RE patients were analyzed retrospectively. Data on gender, age, presence/absence of H pylori infection and associated esophageal hiatal hernia were collected. Esophagitis was divided into different grades according to Los Angeles Classification. RESULTS: Of 18823 patients, 1405 were diagnosed as RE. The ratio of male to female patients was 1.75:1 (P 〈 0.01). The mean age of male and female patients was significantly different (P = 0.01). The peak age at onset of the disease was 40-60 years. According to Los Angeles Classification, there were significant differences in the age of patients with grades A and B compared to patients with grades C and D (P 〈 0.01). Two hundred and seventy-seven patients were infected with H pyiorl, the infection rate was low (P 〈 0.01). Complication of esophageal hiatal hernia was found to be significantly associated with the severity of esophagitis and age in 195 patients (P 〈 0.01). Esophageal mucosa damages were mainly located at the right esophageal wall. CONCLUSION: The peak age of onset of RE is 40-60 years and higher in males than in females. The mean age of onset of RE is lower in males than in females. The infection rate of Hpylori is significantly decreased in patients with esophagitis. Old age and esophageal hiatal hernia are associated with more severe esophagitis. Right esophageal mucosal damage can occur more often in RE patients. AIM: To analyze the clinical and endoscopic features of Chinese patients with reflux esophagitis (RE). METHODS: A total of 1405 RE patients were analyzed retrospectively. Data on gender, age, presence/absence of H pylori infection and associated esophageal hiatal hernia were collected. Esophagitis was divided into different grades according to Los Angeles Classification. RESULTS: Of 18823 patients, 1405 were diagnosed as RE. The ratio of male to female patients was 1.75:1 (P < 0.01). The mean age of male and female patients was significantly different (P = 0.01). The peak age at onset of the disease was 40-60 years. According to Los Angeles Classification, there were significant differences in the age of patients with grades A and B compared to patients with grades C and D (P < 0.01). Two hundred and seventy-seven patients were infected with H pylori, the infection rate was low (P < 0.01). Complication of esophageal hiatal hernia was found to be significantly associated with the severity of esophagitis and age in 195 patients (P < 0.01). Esophageal mucosa damages were mainly located at the right esophageal wall. CONCLUSION: The peak age of onset of RE is 40-60 years and higher in males than in females. The mean age of onset of RE is lower in males than in females. The infection rate of H pylori is significantly decreased in patients with esophagitis. Old age and esophageal hiatal hernia are associated with more severe esophagitis. Right esophageal mucosal damage can occur more often in RE patients.
出处 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第12期1866-1871,共6页 世界胃肠病学杂志(英文版)
关键词 ESOPHAGITIS Los Angeles Classification HELICOBACTERPYLORI Hiatal hernia 食管炎 分类 内窥检查 特征
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  • 1柯美云 潘国宗 等.胃食管反流病.现代胃肠病学(上册,第一版)[M].北京:科学出版社,1994.729-739.
  • 2[1]Hampel H,Abraham NS,El-Serag HB.Meta-analysis:obesity and the risk for gastroesophageal reflux disease and its complications.Ann Intern Med 2005; 143:199-211
  • 3[2]Andersen LI,Jensen G.Risk factors for benign oesophageal disease in a random population sample.J Intern Med 1991; 230:5-10
  • 4[3]Locke GR 3rd,Talley NJ,Fett SL,Zinsmeister AR,Melton LJ 3rd.Risk factors associated with symptoms of gastroesophageal reflux.Am J Med 1999; 106:642-649
  • 5[4]Oliveria SA,Christos PJ,Talley NJ,Dannenberg AJ.Heartburn risk factors,knowledge,and prevention strategies:a population-based survey of individuals with heartburn.Arch Intern Med 1999; 159:1592-1598
  • 6[5]Stanghellini V.Three-month prevalence rates of gastrointestinal symptoms and the influence of demographic factors:results from the Domestic/International Gastroenterology Surveillance Study (DIGEST).Scand J Gastroenterol Suppl 1999; 231:20-28
  • 7[6]Lagergren J,Bergstrom R,Nyren O.No relation between body mass and gastro-oesophageal reflux symptoms in a Swedish population based study.Gut 2000; 47:26-29
  • 8[7]Wu AH,Tseng CC,Bernstein L.Hiatal hernia,reflux symptoms,body size,and risk of esophageal and gastric adenocarcinoma.Cancer 2003; 98:940-948
  • 9[8]Murray L,Johnston B,Lane A,Harvey I,Donovan J,Nair P,Harvey R.Relationship between body mass and gastro-oesophageal reflux symptoms:The Bristol Helicobacter Project.Int J Epidemiol 2003; 32:645-650
  • 10[9]Nilsson M,Johnsen R,Ye W,Hveem K,Lagergren J.Obesity and estrogen as risk factors for gastroesophageal reflux symptoms.JAMA 2003; 290:66-72

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