退伍军人人群中因消化不良行上消化道内镜检查的患者Barrett食管和糜烂性食管炎的发病率

• 作 者: ConnorM.J.ma P. 胡小菁
• 出 处: 世界核心医学期刊文摘(胃肠病学分册)
• 发表日期: 2005年01期
• 关键词: 糜烂性食管炎 消化道内镜检查 消化不良 食管 Barrett 退伍军人 消化性溃疡 短节段 抑酸剂 筛检

The purpose of this study was to establish the prevalence of Barrett s esophagus and erosive esophagitis in a group of patients undergoing upper endoscopy for dyspepsia. Computerized endoscopy records were retrospectively evaluated to identify patients who underwent upper endoscopy for dyspepsia.Objective findings were recorded, including the presence of Barrett s esophagus, erosive esophagitis, and peptic ulcer disease. Among 264 patients, Barrett s esophagus was found in 16 (6.1% ). The mean length of Barrett s was 2.0 cm, and the majority (81.3% ) was short segment. Erosive esophagitis was found in 62 patients (23.% ), and peptic ulcer disease was found in 25 patients (9.5% ). Approximately 30% of patients undergoing endoscopy for dyspepsia had esophageal lesions.The prevalence of Barrett s in this population was 6% . Based on these results, a trial of acid suppression may benefit a third of patients with dyspepsia. Current screening practices for Barrett s in reflux patients alone may need to be reevaluated.

The purpose of this study was to establish the prevalence of Barrett’s esophagus and erosive esophagitis in a group of patients undergoing upper endoscopy for dyspepsia. Computerized endoscopy were were retrospectively evaluated to identify patients who underwent upper upper endoscopy for dyspepsia. Objective findings were recorded, including the presence of Barrett’s sophagus, erosive esophagitis, and peptic ulcer disease. Among 264 patients, Barrett’s sophagus was found in 16 (6.1%). The mean length of Barrett’s was 2.0 cm, and the majority (81.3 %) was short segment. Erosive esophagitis was found in 62 patients (23.%), and peptic ulcer disease was found in 25 patients (9.5%). Approximately 30% of patients undergoing endoscopy for dyspepsia had esophageal lesions. prevalence of Barrett S in this population was 6%. Based on these results, a trial of acid suppression may benefit a third of patients with dyspepsia. Current screening practices for Barrett’s in refl ux patients alone may need to be reevaluated.