消化不良患者的主要症状和临床意义的内镜检查结果

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL
Marija Marković, Mladen Maksić, Jelena Živić, Nebojša Igrutinović, Željko Todorović, Nataša Zdravković
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引用次数: 0

摘要

介绍。食管胃十二指肠镜(EGDS)的作用体现在评价多种器质性疾病的各种症状和体征,如溃疡病、反流病、憩室、贲门失弛弛症和上胃肠道肿瘤,但也体现在排除患者的相同条件,其基础是功能性疾病。消化系统功能性疾病是临床工作中的一大挑战。的目标。本研究的目的是根据性别和年龄确定功能性消化不良与器质性消化不良之间的关系,以及消化不良患者幽门螺杆菌感染(HBP)的频率,将上内镜检查作为鉴别诊断的金标准。方法。这项研究在四年的时间里分析了5200名患者。所有患有消化不良疾病的患者均行胃镜检查,所有患者均行胃粘膜活检和病理组织学检查。结果。女性患消化不良疾病的频率高于男性,平均年龄为43岁。最常见的主诉是胃脘痛和餐后饱腹感。55%的患者内镜检查结果为阳性,主要是55岁以上的患者,HBP状态之间无统计学差异。最常见的变化是反流性食管炎、胃溃疡和十二指肠溃疡。结论。我们的研究显示,根据Rome IV的标准,消化不良患者的内镜检查结果阳性率很高。胃镜检查对消化不良患者有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dominant symptomatology and clinically significant endoscopic findings in patients with dyspepsia
Introduction. The role of esophagogastroduodenoscopy (EGDS) is reflected in the evaluation of various symptoms and signs of numerous organic disorders such as ulcer disease, reflux disease, diverticula, achalasia and tumors of the upper gastrointestinal tract, but also in the exclusion of the same conditions in patients, the basis of which is a functional disorder. Functional diseases of the digestive system are a great challenge in everyday clinical work. Aim. The goal of this study was to determine the frequency of functional dyspepsia in relation to the organic one by sex and age as well as the frequency of Helicobacter pylori infection (HBP) in patients with dyspepsia, performing upper endoscopy as the gold standard in differential diagnosis. Methods. The study analyzed 5,200 patients over a four-year period. All patients underwent upper endoscopy with dyspeptic disorders and all subjects underwent the biopsy of the gastric mucosa and pathohistological verification. Results. The frequency of dyspeptic disorders was higher in women than in men, with the average age being 43 years. The most common complaints were epigastric pain and postprandial fullness. Endoscopic findings were positive in 55% of patients, predominantly over 55 years of age, with no statistical difference between the HBP status. The most common changes were reflux esophagitis, gastric ulcer and duodenal ulcer. Conclusion. Our study showed a high rate of positive endoscopic findings in patients with dyspepsia according to the criteria of Rome IV. Gastroscopy has significant implications in patients with dyspepsia.
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来源期刊
Acta Facultatis Medicae Naissensis
Acta Facultatis Medicae Naissensis MEDICINE, GENERAL & INTERNAL-
CiteScore
0.70
自引率
0.00%
发文量
13
审稿时长
12 weeks
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