Epidemiological Differences in Dyspepsia: A Comparative Analysis of Clinical and Endoscopic Parameters Between European Union and Turkish Patients

Ahmet Melih Şahin, Sinan Çetin, Ersin Kuloğlu, Ali Muhtaroğlu, A. Dülger
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Abstract

Objective: Dyspepsia, a common gastrointestinal disorder, is characterized by persistent or recurrent pain or discomfort centered in the upper abdomen. It often presents with symptoms such as bloating, belching, and nausea. Understanding the epidemiological variations in dyspepsia between EU and Turkish patients can provide valuable insights into potential factors influencing this condition's clinical and endoscopic profiles across different populations. This study aimed to retrospectively examine and compare haematological, biochemical, and endoscopic biopsy parameters among dyspeptic patients from European Union (EU) countries and domestic regions. Material and Methods: e conducted an analysis involving 149 dyspeptic patients, comprising 62 individuals from the European Union (EU) and 87 from Turkey. Data pertaining to hemogram, biochemical parameters, and endoscopic biopsy findings (with a focus on Helicobacter pylori colonization, intestinal metaplasia, and gastric atrophy) were systematically compared between the two groups.zz Results: The study revealed a significantly higher incidence of Helicobacter pylori colonization in the Turkish cohort compared to their EU counterparts. Moreover, variations in hematological and biochemical markers were observed, indicating potential regional and lifestyle differences that may influence dyspeptic symptoms. Conclusion: This study highlights significant epidemiological differences in dyspeptic presentations, particularly the higher prevalence of Helicobacter pylori colonisation in Turkish patients compared to those in the EU. These findings underscore the need for tailored clinical approaches considering regional health determinants in dyspeptic patients.
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消化不良的流行病学差异:欧盟和土耳其患者的临床和内窥镜参数比较分析
目的:消化不良是一种常见的胃肠道疾病,主要表现为上腹部持续或反复疼痛或不适。它通常表现为腹胀、嗳气和恶心等症状。了解欧盟和土耳其患者在消化不良方面的流行病学差异,有助于深入了解影响这种疾病在不同人群中的临床和内窥镜特征的潜在因素。本研究旨在回顾性检查和比较欧盟国家和土耳其国内地区消化不良患者的血液学、生化和内镜活检参数。材料与方法:我们对 149 名消化不良患者进行了分析,其中 62 人来自欧盟(EU),87 人来自土耳其。对两组患者的血液图、生化指标和内镜活检结果(重点是幽门螺杆菌定植、肠化生和胃萎缩)等相关数据进行了系统比较:研究显示,与欧盟同类人群相比,土耳其人群的幽门螺杆菌定植率明显更高。此外,还观察到血液和生化指标的变化,这表明地区和生活方式的差异可能会影响消化不良症状。结论本研究强调了消化不良症状在流行病学上的显著差异,尤其是与欧盟国家的患者相比,土耳其患者幽门螺杆菌定植率更高。这些发现突出表明,在考虑消化不良患者的地区健康决定因素时,有必要采用量身定制的临床方法。
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