Sami Fidan, Nurullah Üzüm, Muammer Cansiz, M. Erkut, A. Coşar
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并接受了内窥镜检查,无论病因如何。患者分为以下三组:血液透析组、连续动态腹膜透析组和非透析组。结果:我们研究了493例患者的资料(平均年龄57.02±16.3岁,男性占64.1%),其中血液透析组270例,连续动态腹膜透析组34例,非透析组189例。内镜异常检出率为83%,三组检出率相似,血液透析组检出率为83.7%,连续门诊腹膜透析组检出率为73.5%,非透析组检出率为83.6%,P = 0.317。所有患者中最常见的内镜检查结果是胃炎(67.7%)。320例患者接受组织学检查。血液透析组、持续动态腹膜透析组和非透析组幽门螺杆菌感染、肠化生和胃癌发生率分别为24%、26.6%和0.9%。结论:慢性肾脏病患者多以上消化道病变为主。由于胃癌前病变在这些患者中很常见,内镜评估是一种可接受的程序,特别是在等待肾移植的患者中。
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Kronik böbrek yetmezliği tanılı hastalarda üst gastrointestinal sisteme ait endoskopik ve histolojik bulguların değerlendirilmesi
2018 and who underwent endoscopy, regardless of the etiology. Patients were categorized according into the following three groups: hemodialysis, continuous ambulatory peritoneal dialysis, and nondialysis. Results: We studied the data of 493 patients (mean age, 57.02 ± 16.3 years, 64.1% men), of which 270 were categorized in the hemodialysis, 34 in contin - uous ambulatory peritoneal dialysis, and 189 in the nondialysis groups. Abnormal endoscopic findings were detected in 83% of the patients, and the rates of these findings were similar for the three groups, i.e., the hemodialysis groups showed a rate of 83.7%, continuous ambula - tory peritoneal dialysis showed 73.5%, and nondialysis group showed 83.6% (P = 0.317). The most common endoscopic finding in all patients was gastritis (67.7%). Total 320 patients underwent histological evalua tion. Helicobacter pylori infection, intestinal metaplasia, and gastric can cer rates for the hemodialysis, continuous ambulatory peritoneal dialy - sis, and nondialysis groups were 24%, 26.6%, and 0.9%, respectively. Conclusion: Most patients with chronic kidney disease have disorders of the upper gastrointestinal tract. Since premalignant gastric lesions are common in these patients, endoscopic evaluation is an acceptable procedure, particularly in those awaiting kidney transplantation.
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