Analysis of detection rate and the affected population characteristics of esophageal related diseases under painless and common electronic gastroscope
KE Jun1 WU Huixiao1 DAI Xiaotong2 CAI Yidong1
1.Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China;
2.School of Sports Human Science, Beijing Sport University, Beijing 100084, China
Abstract：Objective To investigate the difference of detection rate of esophageal related diseases between painless and common electronic gastroscope and the gender and age characteristics of the affected population. Methods The data of 8643 adult electronic gastroscopes in the Endoscopy Center of Xiyuan Hospital, China Academy of Chinese Medical Sciences from November 2014 to November 2019 were retrospectively analyzed, they were grouped in different ways. According to the examination methods, they were divided into the painless group (4012 cases) and the ordinary group (4631 cases), and the detection of esophageal related diseases in the two groups were compared. According to gender, they were divided into male group (3610 cases) and female group (5033 cases). According to age, the patients were divided into young group (18-44 years old, 2916 cases), middle ege group (45-59 years old, 3445 cases) and old group (≥60 years old, 2282 cases). The characteristics of the patients were analyzed. Results The detection rates of oropharyngeal lesions, short esophagus, stomach esophagus mucosa ectopic, papillary tumor in painless group were higher than those in ordinary group, the detection rates of candida esophagitis, hiatal hernia, esophageal cancer, cardiac relaxation loss, cardiac relaxation, poor cardiac dilatation and cardia inflammatory change were lower than those ordinary group, the differences were statistically significant (all P ＜ 0.05). The detection rates of oropharyngeal lesions, reflux esophagitis, candida esophagitis, hiatal hernia, stomach esophagus mucosa ectopic, early esophageal cancer, esophageal cancer and cardiac relaxation in the male group were higher than those in the female group, and the detection rate of short esophagus in the female group was higher than that in the male group, with statistical significance (all P ＜ 0.05). The detection rates of oropharyngeal lesions, reflux esophagitis, candida esophagitis, papillary tumor and cardiac relaxation in the young and old groups were all lower than those in the middle age group, with statistical significance (all P ＜ 0.017). The detection rates of short esophagus, hiatal hernia, stomach esophagus mucosa ectopic, early esophageal cancer, poor cardiac dilatation, and cardia inflammatory in the young group were lower than those in the middle age group and the old group, the detection rates of stomach esophagus mucosa ectopic, cardia inflammatory in the young group were lower than those in the middle age group, and higher than those in the old group. And the detection rates of ecotopia of short esophagus, stomach esophagus mucosa ectopic and cardia inflammatory in the old group were lower than those in the middle age group, with statistical significance (all P ＜ 0.017). The detection rates of esophageal cancer and cardiac relaxation loss in the young group were lower than those in the old group, and the differences were statistically significant (all P ＜ 0.017). Conclusion The two methods of gastroscopy have their own advantages and disadvantages in the detection of esophageal related diseases, and the endoscopy method that conforms to the principle of cost-valence should be selected from the perspective of safety and economics according to the disease characteristics, gender and age characteristics of the patients.
柯俊1 吴会晓1 代晓彤2 蔡毅东1. 无痛与普通电子胃镜下食管相关疾病检出率及患病人群特征分析[J]. 中国医药导报, 2021, 18(16): 78-81.
KE Jun1 WU Huixiao1 DAI Xiaotong2 CAI Yidong1. Analysis of detection rate and the affected population characteristics of esophageal related diseases under painless and common electronic gastroscope. 中国医药导报, 2021, 18(16): 78-81.
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