{"title":"浙江省ERCP人群特征及发病趋势的初步研究","authors":"Haibin Zhou, Jianfeng Yang, Xiao Zhang, Wen Lyu, Qing-feng Yuan, Hangbin Jin, Haitao Huang, Yifeng Zhou, Lou Qifeng, Ma Wencong, Z. Xiaofeng","doi":"10.3760/CMA.J.ISSN.1007-5232.2019.06.004","DOIUrl":null,"url":null,"abstract":"Objective \nTo investigate the characteristics of population and the changes of disease spectrum in patients treated by endoscopic retrograde cholangiopancreatography (ERCP) . \n \n \nMethods \nData of 20 170 patients, who underwent ERCP in the First People′s Hospital of Hangzhou from May 2004 to February 2018, were enrolled in the retrospective analysis. According to the year of diagnosis and treatment, patients were divided into 2004-2008, 2009-2013, and 2014-2018 group; according to the postoperative diagnosis of ERCP, they were divided into biliary tract diseases (including calculus, benign stenosis, malignant stenosis, and other causes) and pancreatic diseases (including acute pancreatitis, chronic pancreatitis, pancreatic malignant tumor, and other causes) group; and according to the age, they were divided into the younger age (0-18 years old) , young and middle age (19-65 years old) , old age (66-85 years old) , and advanced age (>85 years old) group. Statistical analysis was performed in the different groups. \n \n \nResults \nAmong the 20 170 patients, there were 10 260 males and 9 910 females, with age of 62.65±17.11 years. The proportion of the younger age group and the advanced age group was 1.04% (24/2 308) , 1.69% (127/7 520) , 2.39% (247/10 342) , and 2.95% (68/2 308) , 4.19% (315/7 520) , 6.15% (636/10 342) , respectively, in the 2004-2008, 2009-2013 and 2014-2018 subgroups, with a rising trend (P<0.017) . A total 20 032 patients had a clear postoperative diagnosis, including 15 618 (77.97%) of biliary diseases and 4 414 (22.03%) of pancreatic diseases. Biliary stones accounted for the majority of biliary diseases (63.2%, 9 863/15 618) , and its proportion increased from 59.9% (1 191/1 987) in 2004-2008 to 64.5% (5 118/7 939) in 2014-2018 (P=0.000) . Acute pancreatitis accounted for the majority of pancreatic diseases (67.4%, 1 973/4 414) , and its proportion increased from 52.4% (162/309) in 2004-2008 to 69.9% (1 636/2 340) in 2014-2018 (P=0.000) . The top 3 diseases in the younger group and the advanced age group were acute pancreatitis (32.58%, 129/396) , biliary stones (25.25%, 100/396) , chronic pancreatitis (22.22%, 88/396) , and biliary stones (56.46%, 568/1 006) , malignant biliary stenosis (12.52%, 126/1 006) , benign biliary stricture (10.34%, 104/1 006) , respectively. \n \n \nConclusion \nThe main disease of patients receiving ERCP is biliary stone, and the proportion of acute pancreatitis is increased. The overall age of the patients is old, and the proportion of the elderly and underaged patients is gradually increasing. Biliary diseases and pancreatic diseases are the main diseases in elderly patients and younger patients, respectively. \n \n \nKey words: \nCholangiopancreatography, endoscopic retrograde; Population surveilance; Trend","PeriodicalId":10072,"journal":{"name":"中华消化内镜杂志","volume":"36 1","pages":"402-406"},"PeriodicalIF":0.0000,"publicationDate":"2019-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A preliminary study on the characteristics of ERCP population and disease trends in Zhejiang Province\",\"authors\":\"Haibin Zhou, Jianfeng Yang, Xiao Zhang, Wen Lyu, Qing-feng Yuan, Hangbin Jin, Haitao Huang, Yifeng Zhou, Lou Qifeng, Ma Wencong, Z. Xiaofeng\",\"doi\":\"10.3760/CMA.J.ISSN.1007-5232.2019.06.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective \\nTo investigate the characteristics of population and the changes of disease spectrum in patients treated by endoscopic retrograde cholangiopancreatography (ERCP) . \\n \\n \\nMethods \\nData of 20 170 patients, who underwent ERCP in the First People′s Hospital of Hangzhou from May 2004 to February 2018, were enrolled in the retrospective analysis. According to the year of diagnosis and treatment, patients were divided into 2004-2008, 2009-2013, and 2014-2018 group; according to the postoperative diagnosis of ERCP, they were divided into biliary tract diseases (including calculus, benign stenosis, malignant stenosis, and other causes) and pancreatic diseases (including acute pancreatitis, chronic pancreatitis, pancreatic malignant tumor, and other causes) group; and according to the age, they were divided into the younger age (0-18 years old) , young and middle age (19-65 years old) , old age (66-85 years old) , and advanced age (>85 years old) group. Statistical analysis was performed in the different groups. \\n \\n \\nResults \\nAmong the 20 170 patients, there were 10 260 males and 9 910 females, with age of 62.65±17.11 years. The proportion of the younger age group and the advanced age group was 1.04% (24/2 308) , 1.69% (127/7 520) , 2.39% (247/10 342) , and 2.95% (68/2 308) , 4.19% (315/7 520) , 6.15% (636/10 342) , respectively, in the 2004-2008, 2009-2013 and 2014-2018 subgroups, with a rising trend (P<0.017) . A total 20 032 patients had a clear postoperative diagnosis, including 15 618 (77.97%) of biliary diseases and 4 414 (22.03%) of pancreatic diseases. Biliary stones accounted for the majority of biliary diseases (63.2%, 9 863/15 618) , and its proportion increased from 59.9% (1 191/1 987) in 2004-2008 to 64.5% (5 118/7 939) in 2014-2018 (P=0.000) . Acute pancreatitis accounted for the majority of pancreatic diseases (67.4%, 1 973/4 414) , and its proportion increased from 52.4% (162/309) in 2004-2008 to 69.9% (1 636/2 340) in 2014-2018 (P=0.000) . The top 3 diseases in the younger group and the advanced age group were acute pancreatitis (32.58%, 129/396) , biliary stones (25.25%, 100/396) , chronic pancreatitis (22.22%, 88/396) , and biliary stones (56.46%, 568/1 006) , malignant biliary stenosis (12.52%, 126/1 006) , benign biliary stricture (10.34%, 104/1 006) , respectively. \\n \\n \\nConclusion \\nThe main disease of patients receiving ERCP is biliary stone, and the proportion of acute pancreatitis is increased. The overall age of the patients is old, and the proportion of the elderly and underaged patients is gradually increasing. Biliary diseases and pancreatic diseases are the main diseases in elderly patients and younger patients, respectively. \\n \\n \\nKey words: \\nCholangiopancreatography, endoscopic retrograde; Population surveilance; Trend\",\"PeriodicalId\":10072,\"journal\":{\"name\":\"中华消化内镜杂志\",\"volume\":\"36 1\",\"pages\":\"402-406\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-06-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中华消化内镜杂志\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1007-5232.2019.06.004\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华消化内镜杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1007-5232.2019.06.004","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
A preliminary study on the characteristics of ERCP population and disease trends in Zhejiang Province
Objective
To investigate the characteristics of population and the changes of disease spectrum in patients treated by endoscopic retrograde cholangiopancreatography (ERCP) .
Methods
Data of 20 170 patients, who underwent ERCP in the First People′s Hospital of Hangzhou from May 2004 to February 2018, were enrolled in the retrospective analysis. According to the year of diagnosis and treatment, patients were divided into 2004-2008, 2009-2013, and 2014-2018 group; according to the postoperative diagnosis of ERCP, they were divided into biliary tract diseases (including calculus, benign stenosis, malignant stenosis, and other causes) and pancreatic diseases (including acute pancreatitis, chronic pancreatitis, pancreatic malignant tumor, and other causes) group; and according to the age, they were divided into the younger age (0-18 years old) , young and middle age (19-65 years old) , old age (66-85 years old) , and advanced age (>85 years old) group. Statistical analysis was performed in the different groups.
Results
Among the 20 170 patients, there were 10 260 males and 9 910 females, with age of 62.65±17.11 years. The proportion of the younger age group and the advanced age group was 1.04% (24/2 308) , 1.69% (127/7 520) , 2.39% (247/10 342) , and 2.95% (68/2 308) , 4.19% (315/7 520) , 6.15% (636/10 342) , respectively, in the 2004-2008, 2009-2013 and 2014-2018 subgroups, with a rising trend (P<0.017) . A total 20 032 patients had a clear postoperative diagnosis, including 15 618 (77.97%) of biliary diseases and 4 414 (22.03%) of pancreatic diseases. Biliary stones accounted for the majority of biliary diseases (63.2%, 9 863/15 618) , and its proportion increased from 59.9% (1 191/1 987) in 2004-2008 to 64.5% (5 118/7 939) in 2014-2018 (P=0.000) . Acute pancreatitis accounted for the majority of pancreatic diseases (67.4%, 1 973/4 414) , and its proportion increased from 52.4% (162/309) in 2004-2008 to 69.9% (1 636/2 340) in 2014-2018 (P=0.000) . The top 3 diseases in the younger group and the advanced age group were acute pancreatitis (32.58%, 129/396) , biliary stones (25.25%, 100/396) , chronic pancreatitis (22.22%, 88/396) , and biliary stones (56.46%, 568/1 006) , malignant biliary stenosis (12.52%, 126/1 006) , benign biliary stricture (10.34%, 104/1 006) , respectively.
Conclusion
The main disease of patients receiving ERCP is biliary stone, and the proportion of acute pancreatitis is increased. The overall age of the patients is old, and the proportion of the elderly and underaged patients is gradually increasing. Biliary diseases and pancreatic diseases are the main diseases in elderly patients and younger patients, respectively.
Key words:
Cholangiopancreatography, endoscopic retrograde; Population surveilance; Trend
期刊介绍：
Chinese Journal of Digestive Endoscopy is a high-level medical academic journal specializing in digestive endoscopy, which was renamed Chinese Journal of Digestive Endoscopy in August 1996 from Endoscopy.
Chinese Journal of Digestive Endoscopy mainly reports the leading scientific research results of esophagoscopy, gastroscopy, duodenoscopy, choledochoscopy, laparoscopy, colorectoscopy, small enteroscopy, sigmoidoscopy, etc. and the progress of their equipments and technologies at home and abroad, as well as the clinical diagnosis and treatment experience.
The main columns are: treatises, abstracts of treatises, clinical reports, technical exchanges, special case reports and endoscopic complications.
The target readers are digestive system diseases and digestive endoscopy workers who are engaged in medical treatment, teaching and scientific research.
Chinese Journal of Digestive Endoscopy has been indexed by ISTIC, PKU, CSAD, WPRIM.
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