|
|
Relationship between reflux esophagitis and related factors of metabolic syndrome |
CHENG Yi′an TAN Shiyun LI Ming LU Mingjun |
Department of Gastroenterology, Renmin Hospital of Wuhan University, Hubei Province, Wuhan 430060, China |
|
|
Abstract Objective To investigate the relationship between reflux esophagitis (RE) and related factors of metabolic syndrome. Methods From November 2016 to March 2018, 176 patients who underwent endoscopy at the endoscopy center of Renmin Hospital of Wuhan University and were diagnosed with RE were enrolled as RE group. And 331 patients with normal gastroscopy or only mild chronic superficial gastritis in the same period were selected as control group. General information and past history were collected. Abdominal ultrasonography and blood biochemical tests were performed in both groups. The differences of age, sex, body mass index (BMI), detection rate of nonalcoholic fatty liver disease (NAFLD), smoking rate, prevalence rate of hypertension, blood sugar, blood lipid and other independent risk factors between the two groups and the independent risk factors for RE were analyzed. Results The percentage of males, BMI, NAFLD detection rate, smoking rate, prevalence of hypertension, alanine transferase, fasting blood sugar and triglyceride levels in RE group were significantly higher than those in the control group (P < 0.05), and the level of high density lipoprotein was significantly lower than that in the control group (P < 0.05). Male, overweight and hypertension were independent risk factors for RE (OR = 2.274, 3.389, 2.145, P < 0.05). Conclusion Male, overweight and hypertension are the risk factors of RE, which should be paid attention to in clinical prevention and treatment.
|
|
|
|
|
[1] 张玲,邹多武.胃食管反流病的流行病学及危险因素[J].临床荟萃,2017,32(1):1-4.
[2] Niigaki M,Adachi K,Furuta K,et al. Association between metabolic syndrome and prevalence of gastroesophageal reflux disease in a health screening facility in Japan [J]. J Gastroenterol,2013,48(4):463-472.
[3] Catanzaro R,Calabrese F,Occhipinti S,et al. Nonalcoholic Fatty Liver Disease Increases Risk for Gastroesophageal Reflux Symptoms [J]. Dig Dis Sci,2014,59(8):1939-1945.
[4] 葛均波,徐永健.内科学[M].8版.北京:人民卫生出版社,2013:357-358.
[5] 中华医学会肝病学分会脂肪肝和酒精性肝病学组.非酒精性脂肪性肝病防治指南(2018年更新版)[J].实用肝脏病杂志,2018,21(2):170-176.
[6] 中国超重肥胖医学营养治疗专家共识编写委员会.中国超重/肥胖医学营养治疗专家共识(2016年版)[J].糖尿病天地:临床,2016,8(10):525-540.
[7] Wang RH. From reflux esophagitis to Barrett′s esophagus and esophageal adenocarcinoma [J]. World J Gastroenterol,2015,21(17):5210-5219.
[8] Wu P,Ai ZS,Ma L,et al. The association of metabolic syndrome with reflux esophagitis:a case-control study [J]. Neurogastroenterol Motil,2011,23(11):989-994.
[9] Moki F,Kusano M,Mizuide M,et al. Association between reflux oesophagitis and features of the metabolic syndrome in Japan [J]. Aliment Pharmacol Ther,2007,26(7):1069-1075.
[10] Ze EY,Kim BJ,Kang H,et al. Abdominal Visceral to Subcutaneous Adipose Tissue Ratio Is Associated with Increased Risk of Erosive Esophagitis [J]. Dig Dis Sci,2017,62(5):1265-1271.
[11] 叶剑飞.导致重度反流性食管炎的因素探讨[J].当代医药论丛,2017,15(8):73-75.
[12] Santo MA,Quintanilha SR,Mietti CA,et al. Endoscopic changes related to gastroesophageal reflux disease:comparative study among bariatric surgery patients [J]. Arq Bras Cir Dig,2015,28(Suppl 1):36-38.
[13] Fujiwara M,Eguchi Y,Fukumori N,et al. The Symptoms of Gastroesophageal Reflux Disease Correlate with High Body Mass Index,the Aspartate Aminotransferase/Alanine Aminotransferase Ratio and Insulin Resistance in Japanese Patients with Non-alcoholic Fatty Liver Disease [J]. Intern Med,2015,54(24):3099-3104.
[14] Yang HJ,Chang Y,Park SK,et al. Nonalcoholic Fatty Liver Disease Is Associated with Increased Risk of Reflux Esophagitis [J]. Dig Dis Sci,2017,62(12):3605-3613.
[15] 年媛媛,王学勤,孟宪梅,等.体质量指数对胃食管反流病患者胃食管反流的影响[J].国际消化病杂志,2015(5):363-365.
[16] Nam SY,Choi IJ,Ryu KH,et al. The effect of abdominal visceral fat,circulating inflammatory cytokines,and leptin levels on reflux esophagitis [J]. J Neurogastroenterol Motil,2015,21(2):247-254.
[17] 裴莉英.难治性反流性食管炎的相关危险因素分析[J].中国当代医药,2015,22(33):57-59.
[18] Matsuzaki J,Suzuki H,Kobayakawa M,et al. Association of Visceral Fat Area,Smoking,and Alcohol Consumption with Reflux Esophagitis and Barrett's Esophagus in Japan [J]. PLoS One,2015,10(7):e0 133 865.
[19] Mohammadi M,Jolfaie NR,Alipour R,et al. Is Metabolic Syndrome Considered to Be a Risk Factor for Gastroesophageal Reflux Disease (Non-Erosive or Erosive Esop-hagitis)?A Systematic Review of the Evidence [J]. Iran Red Crescent Med J,2016,18(11):e30 363.
[20] 王新玲,罗蕴之.2型糖尿病与胃食管反流病[J].中华胃食管反流病电子杂志,2015,2(3):171-174.
[21] 梁鹏.糖尿病合并胃食管反流病老年患者的临床特征分析[J].糖尿病新世界,2016,19(8):88-89.
[22] Ha JO,Lee TH,Chang WL,et al. Prevalence and Risk Factors of Gastroesophageal Reflux Disease in Patients with Type 2 Diabetes Mellitus [J]. Diabetes Metab J,2016,40(4):297-307.
[23] Mocanu MA,Diculescu M,Dumitrescu M. Gastroesophageal reflux and metabolic syndrome [J]. Rev Med Chir Soc Med Nat Iasi,2013,117(3):605-609.
[24] 高峰,苟丽.新疆地区重度反流性食管炎影响因素的相关性分析[J].中华临床医师杂志,2013,7(14):6397-6400. |
|
|
|