上部内镜检查中的内镜和组织学损伤的患病率:临床实践中的横截面,多中心研究
Vincenzo De Francesco1, Angelo Zullo2, Arnaldo Amato3
1Gastroenterology and Endoscopy Unit, Riuniti Hospitals, Foggia, Italy.
GE Portuguese journal of gastroenterology
|February 5, 2025
概括
上部内镜检查显示,胃腺病变在50岁以上的人群中更为常见. 杆菌感染增加了胃的风险,而警报症状表明瘤病变.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 组织病理学 组织病理学
背景情况:
- 胃肠病变的患病率可以随着时间的推移而变化.
- 从常规上部内镜评估当前的宏观和组织学发现至关重要.
研究的目的:
- 在日常实践中评估当前胃肠内镜和组织病变的患病率.
- 为了确定与特定的损伤类型相关的因素.
主要方法:
- 分析了从1431名接受首次上部内镜检查的成年患者中获得的临床,内镜和组织学数据.
- 对侵蚀性/性病变,癌症,癌前病变和Helicobacter pylori感染的流行率的计算.
主要成果:
- 侵蚀性食道炎/巴雷特食道发生在14.7%的患者中,胃发生在3.4%的患者中,瘤病变发生在1.2%的患者中.
- 在22.6%的病例中出现了Helicobacter pylori感染.
- 胃病变在50岁以上的患者中更为普遍 (26%对18%). 胃潰瘍在陽性H. pylori患者 (9.4%對2.3%) 和男性 (5.8%對1.6%) 中更常見. 新生病变与警报症状有关 (3.8%对0.6%).
结论:
- 内镜病变在50岁及以上的患者中更为常见.
- 胃潰瘍和侵蝕頻率在受H. pylori感染的人群中較高.
- 在不到6%的研究人口中发现了广泛的胃癌前病变.
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