The changing pattern of upper gastrointestinal disorders by endoscopy: data of the last 40 years.

Diagnostic and Therapeutic Endoscopy Pub Date : 2014-01-01 Epub Date: 2014-09-08 DOI:10.1155/2014/262638
Erkan Caglar, Birol Baysal, Ahmet Dobrucalı
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引用次数: 7

Abstract

Objectives. We have investigated the changes in the incidence of various diagnoses that have been made in the endoscopy unit throughout the last 40 years. Methods. In this study, changes in the incidence of endoscopic diagnosis in upper gastrointestinal system between 1970 and 2010 were evaluated. Their diagnosis, age, and gender data were entered into the Excel software. Results. Of the 52816 cases who underwent esophagogastroduodenoscopy in the 40-year time period, the mean age was 48.17 ± 16.27 (mean ± SD). Although overall more than half of the patients were male (54.3%), in 1995 and after a marked increase was seen in the proportion of female gender (51-55%). The presence of hiatal hernia, reflux esophagitis, and the number of Barrett's esophaguses significantly increased. Erosive gastritis showed gradual increase, while the number of gastric ulcers decreased significantly. The presence of gastric and esophageal cancer significantly decreased. The number of duodenal ulcers significantly decreased. Conclusion. We detected that the incidences of esophagitis, Barrett's esophagus, and erosive gastritis significantly increased while the incidences of gastric/duodenal ulcer and gastric/esophageal cancer decreased throughout the last 40 years.

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内镜下上消化道疾病的变化模式:近40年的数据。
目标。我们调查了在过去的40年里,在内窥镜检查单位中所做的各种诊断的发生率的变化。方法。本研究评估了1970年至2010年间上消化道内镜诊断率的变化。他们的诊断、年龄和性别数据输入到Excel软件中。结果。40年间52816例食管胃十二指肠镜检查患者的平均年龄为48.17±16.27岁(mean±SD)。虽然总体上一半以上的患者是男性(54.3%),但在1995年及之后,女性的比例显著增加(51-55%)。裂孔疝、反流性食管炎、Barrett食管数量明显增加。糜烂性胃炎逐渐增多,胃溃疡数量明显减少。胃癌和食管癌的发生率明显降低。十二指肠溃疡数量明显减少。结论。我们发现,在过去的40年里,食管炎、巴雷特食管和糜烂性胃炎的发病率显著增加,而胃/十二指肠溃疡和胃/食管癌的发病率则有所下降。
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