TITLE:
Analysis on the clinical and endoscopic parameters in 1247 patients with reflux esophagitis
AUTHORS:
Xiao Zhang, Huan Wang, Wei’an Wang, Xiaoguang Chen, Haifeng Liu
KEYWORDS:
Reflux Esophagitis; Endoscopy; Clinical Parameters;Antrum Hyperemia
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.4 No.1,
January
23,
2014
ABSTRACT: Aim:
To summarize and analyze the clinical and endoscopic parameters in patients
with reflux esophagitis(RE). Methods：1247 patients with RE were diagnosed in our hospital endoscopy center from September 2010
to August 2012. The general information of the patients and the
relationship between endoscopic classification and concomitant diseases were
analyzed. Results: According to the endoscopic findings, 1247
subjects (4.70%) were found to have RE：932 (74.74%) males and 315 (25.26%) females,
and the male to female ratio was 2.96:1. The peak age of prevalence was 50 to
59 (27.35%) which is followed by 40 to 49 (23.10%). In this study, most of the
patients had a mild degree of esophagitis
representing LA-A in 60.63% and LA-B in 34.24%. The antrum hyperemia was found in 291 patients with esophagitis (23.34%), followed by antrum erosion
(20.13%) and hatal hernia (15.88%). There is no statistically significant relevance between Helicobacter pylori infection and RE (P > 0.05), but Barrett’s esophagus, duodenal ulcer,
gastroesophageal tumors, a history of gastroesophageal surgery and
antrum hyperemia were found to be associated with RE (P . Conclusion: The prevalence
rate of endoscopic RE in our study was 4.70%, and most patients had a mild
grade esophagitis. Male, advanced age, Barrett’s esophagus, duodenal ulcer,
gastroesophageal tumors and a history of gastroesophageal surgery are the risk
factors of esophagitis. Antrum hyperemia may reduce the severity of RE.