A preliminary study on the characteristics of ERCP population and disease trends in Zhejiang Province

中华消化内镜杂志 Pub Date : 2019-06-20 DOI:10.3760/CMA.J.ISSN.1007-5232.2019.06.004

Haibin Zhou, Jianfeng Yang, Xiao Zhang, Wen Lyu, Qing-feng Yuan, Hangbin Jin, Haitao Huang, Yifeng Zhou, Lou Qifeng, Ma Wencong, Z. Xiaofeng

{"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}

引用次数: 0

Abstract

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

查看原文本刊更多论文

浙江省ERCP人群特征及发病趋势的初步研究

目的探讨内镜逆行胰胆管造影(ERCP)患者的人群特点及疾病谱变化。方法选取2004年5月至2018年2月在杭州市第一人民医院行ERCP手术的20170例患者进行回顾性分析。根据诊疗年份将患者分为2004-2008、2009-2013、2014-2018组;根据ERCP的术后诊断分为胆道疾病(包括结石、良性狭窄、恶性狭窄等原因)组和胰腺疾病(包括急性胰腺炎、慢性胰腺炎、胰腺恶性肿瘤等原因)组;并按年龄分为低龄组(0 ~ 18岁)、中青年组(19 ~ 65岁)、老年组(66 ~ 85岁)、高龄组(0 ~ 85岁)。对各组进行统计学分析。结果20 170例患者中，男性10 260例，女性9 910例，年龄62.65±17.11岁。2004-2008年、2009-2013年和2014-2018年亚组中，低龄组和高龄组所占比例分别为1.04%(24/2 308)、1.69%(127/7 520)、2.39%(247/10 342)、2.95%(68/2 308)、4.19%(315/7 520)、6.15%(636/10 342)，且呈上升趋势(P<0.017)。术后诊断明确的患者共20 032例，其中胆道疾病15 618例(77.97%)，胰腺疾病4 414例(22.03%)。胆道疾病以胆道结石为主(63.2%，9 863/15 618)，其比例由2004-2008年的59.9%(1 191/1 1987)上升至2014-2018年的64.5% (5 118/7 939)(P=0.000)。急性胰腺炎占胰腺疾病的绝大多数(67.4%，1 973/4 414)，其比例从2004-2008年的52.4%(162/309)上升至2014-2018年的69.9% (1 636/2 340)(P=0.000)。青壮年组和高龄组的前3位疾病分别为急性胰腺炎(32.58%，129/396)、胆结石(25.25%，100/396)、慢性胰腺炎(22.22%，88/396)、胆结石(56.46%，568/1 006)、恶性胆道狭窄(12.52%，126/1 006)、良性胆道狭窄(10.34%，104/1 006)。结论ERCP患者的主要疾病为胆结石，急性胰腺炎比例增高。患者总体年龄偏大，老年及未成年患者比例逐渐增加。老年患者以胆道疾病为主，年轻患者以胰腺疾病为主。关键词:胆管造影;内镜逆行;人口监测;趋势

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

中华消化内镜杂志

CiteScore

0.10

自引率

0.00%

发文量

7555

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.