高龄患者上部内镜:一个多中心,横截面研究
Angelo Zullo1, Vincenzo De Francesco2, Arnaldo Amato3
1Gastroenterology and Endoscopy Unit, Nuovo Regina Margherita' Hospital, Rome, Italy.
Irish journal of medical science
|August 26, 2024
概括
高龄患者的上部内镜显示,侵蚀性和瘤性病变的患病率很高. 然而,在这个人口群体中,Helicobacter pylori感染率和胃潰瘍率正在下降.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 老年医学 老年医学
背景情况:
- 上部内镜经常显示老年人的宏观和组织病变.
- 65岁以上患者内镜和组织学变化的患病率需要评估.
研究的目的:
- 确定老年患者 (65岁以上) 主要内镜和组织学变化的患病率.
主要方法:
- 从接受上部内镜检查的患者中获取临床,内镜和组织学数据.
- 进行单变量和多变量分析以确定重要因素.
- 将发现与现有流行病学数据进行比较.
主要成果:
- 1336名老年患者接受了上部内镜检查,31.4%的患者有宏观性病变.
- 侵蚀性胃炎 (13.3%) 和食道炎 (9.8%) 是最常见的;在0.6% (食道),1.8% (胃),0.1% (十二指肠) 中检测到瘤.
- 在15.9%的患者中发现了Helicobacter pylori感染;在14.5%的患者中发现了癌前胃病变. PPI治疗减少了内镜病变;与瘤病变相关的警报症状.
结论:
- 侵蚀性和瘤性病变在老年人群中仍然非常普遍.
- 在这个年龄组中,Helicobacter pylori感染和胃潰瘍的患病率有所下降.
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