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沙特阿拉伯东部省份上消化道疾病模式。对2982例患者的内镜评估。

Pattern of upper gastrointestinal disease in the eastern province of Saudi Arabia. Endoscopic evaluation of 2,982 patients.

作者信息

Al-Quorain A, Satti M B, Al-Hamdan A, al-Ghassab G, al-Freihi H, al-Gindan Y

机构信息

College of Medicine and Medical Sciences, King Faisal University, Dammam, Saudi Arabia.

出版信息

Trop Geogr Med. 1991 Jan-Apr;43(1-2):203-8.

PMID:1750116
Abstract

The records of 2,982 patients who were subjected to upper gastrointestinal (UGI) endoscopy were retrospectively analyzed. All patients were seen at King Fahd Hospital of the University, Al-Khobar during the period 1982-1986. All were adult patients with a mean age of 46 years, of whom two thousand nine (67.4%) were males. The commonest endoscopic diagnosis was chronic gastritis (21.4%) followed by duodenal ulcer (17%) and chronic oesophagitis (11.7%). Of 1,256 biopsied patients a 'histologically normal' diagnosis was obtained in 565 (45%) from all sites. However, chronic non-specific superficial gastritis (22.6%) followed by chronic duodenitis (17.5%) constituted the two commonest histological diagnoses. Helicobacter pylori was identified histologically on the gastric mucosa of 72% of patients with superficial chronic active gastritis, with or without associated peptic ulcer disease. Duodenal ulcers followed by oesophageal varices were the two commonest diagnoses encountered in 200 patients presenting with UGI bleeding. These results are discussed and compared to those of other studies.

摘要

对2982例接受上消化道(UGI)内镜检查的患者记录进行了回顾性分析。所有患者均于1982年至1986年期间在胡拜尔法赫德国王大学医院就诊。所有患者均为成年患者,平均年龄46岁,其中2009例(67.4%)为男性。最常见的内镜诊断为慢性胃炎(21.4%),其次是十二指肠溃疡(17%)和慢性食管炎(11.7%)。在1256例接受活检的患者中,所有部位有565例(45%)获得了“组织学正常”的诊断。然而,慢性非特异性浅表性胃炎(22.6%)和慢性十二指肠炎(17.5%)是最常见的两种组织学诊断。在72%患有浅表性慢性活动性胃炎的患者胃黏膜中,无论有无相关消化性溃疡疾病,均在组织学上鉴定出幽门螺杆菌。十二指肠溃疡和食管静脉曲张是200例上消化道出血患者中最常见的两种诊断。对这些结果进行了讨论,并与其他研究结果进行了比较。

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