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Prevalence of gastroesophageal reflux symptoms in a large unselected general population in Japan 被引量:2
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作者 Hatsushi Yamagishi Tomoyuki Koike +10 位作者 Shuichi Ohara Shigeyuki Kobayashi Ken Ariizumi Yasuhiko Abe Katsunori Iijima Akira Imatani yoshifumi inomata Katsuaki Kato Daisuke Shibuya Shigemitsu Aida Tooru Shimosegawa 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第9期1358-1364,共7页
AIM:To examine the prevalence of gastroesophageal reflux disease (GERD) symptoms in a large unselected general population in Japan. METHODS: In Japan, mature adults are offered regular check-ups for the prevention of ... AIM:To examine the prevalence of gastroesophageal reflux disease (GERD) symptoms in a large unselected general population in Japan. METHODS: In Japan, mature adults are offered regular check-ups for the prevention of gastric cancer. A notice was sent by mail to all inhabitants aged > 40 years. A total of 160 983 Japanese (60 774 male, 100 209 female; mean age 61.9 years) who underwent a stomach check up were enrolled in this study. In addition, from these 160 983 subjects, we randomly selected a total of 82 894 (34 275 male, 48 619 female; mean age 62.4 years) to evaluate the prevalence of abdominal pain. The respective subjects were prospectively asked to complete questionnaires concerning the symptoms of heartburn, dysphagia, and abdominal pain for a 1 mo period. RESULTS: The respective prevalences of the symptoms in males and females were: heartburn, 15.8% vs 20.7%; dysphagia, 5.4% vs 7.8%; and abdominal pain, 6.6% vs 9.6%. Among these symptoms, heartburn was significantly high compared with the other symptoms, and the prevalence of heartburn was significantly more frequent in females than in males in the 60-89-year agegroup. Dysphagia was also significantly more frequent in female patients. CONCLUSION: The prevalence of typical GERD symptoms (heartburn) was high, at about 20% of the Japan population, and the frequency was especially high in females in the 60-89 year age group. 展开更多
关键词 Gastroesophageal reflux disease HEARTBURN DYSPHAGIA Abdominal pain
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Incidence of reflux esophagitis and Helicobacter pylori infection in diabetic patients 被引量:1
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作者 Ken Ariizumi Tomoyuki Koike +6 位作者 Shuichi Ohara yoshifumi inomata Yasuhiko Abe Katsunori Iijima Akira Imatani Tomoyoshi Oka Tooru Shimosegawa 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第20期3212-3217,共6页
AIM: To investigate the incidence of reflux esophagitis (RE) and Hpylori infection in the diabetic patient. METHODS: The incidence of RE and Hpy/ori infection were investigated in 85 patients with diabetes mellitu... AIM: To investigate the incidence of reflux esophagitis (RE) and Hpylori infection in the diabetic patient. METHODS: The incidence of RE and Hpy/ori infection were investigated in 85 patients with diabetes mellitus and the results were compared with controls. RESULTS: The incidence of RE in diabetic patients was 17.6%. Although this tended to be higher in diabetic patients, there were no statistically significant differences between diabetic patients and controls. The incidence of H pyiori infection in diabetic patients was 53.7% but no statistically significant difference was seen between diabetic patients and controls in the incidence of Hpylori infection. CONCLUSION: No significant differences could be seen between diabetic patients and controls in the incidence of RE and H pldori infection. 展开更多
关键词 Diabetes mellitus Reflux esophagitis Helicobacter pylori
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Tongue-like Barrett's esophagus is associated with gastroesophageal reflux disease
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作者 Hatsushi Yamagishi Tomoyuki Koike +10 位作者 Shuichi Ohara Shigeyuki Kobayashi Ken Ariizumi Yasuhiko Abe Katsunori Iijima Akira Imatani yoshifumi inomata Katsuaki Kato Daisuke Shibuya Shigemitsu Aida Tooru Shimosegawa 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第26期4196-4203,共8页
AIM:To test this hypothesis of barrett esophagus (BE) classified into two types and to further determine if there was any correlation between the shape of endoscopically suspected esophageal metaplasia (ESEM), prevale... AIM:To test this hypothesis of barrett esophagus (BE) classified into two types and to further determine if there was any correlation between the shape of endoscopically suspected esophageal metaplasia (ESEM), prevalence of reflux esophagitis (RE) and heartburn. METHODS: A total of 6504 Japanese who underwent endoscopy for their annual stomach check-up were enrolled in this study. BE was detected without histological confirmation that is ESEM. We originally classified cases of ESEM into 3 types based on its shape: Tongue-like (T type), Dome-like (D type) and Wave-like (W type) ESEM. The respective subjects were prospectively asked to complete questionnaires concerning the symptoms of heartburn, dysphagia, and abdominal pain for a one-month period. RESULTS: ESEM was observed in 10.3% of 6504 subjects (ESEM < 1 cm, 9.4%; 1 cm ≤ ESEM < 3 cm, 1.7%; ESEM ≥ 3 cm, 0.5%). The frequency of ESEM was significantly higher in males compared with female subjects. Statistical analysis showed that the prevalence of heartburn and RE were significantly higher in the T type ESEM than in the W type ESEM (P < 0.05). CONCLUSION: The T type ESEM was strongly associated with reflux symptoms and RE whereas the W type ESEM was not associated with GERD. 展开更多
关键词 Tongue-like endoscopically suspectedesophageal metaplasia Dome-like endoscopicallysuspected esophageal metaplasia Wave-likeendoscopically suspected esophageal metaplasia Gastroesophageal reflux disease
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