Yoo Seung Suk, Lee Won Hyun, Ha Jong, Choi Sun Pil, Kim Hyun Jin, Kim Tae Hyo, Lee Ok Jae
Department of Internal Medicine & Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea.
Korean J Gastroenterol. 2007 Nov;50(5):306-12.
BACKGROUND/AIMS: Various disorders can be developed in the esophagus. However, esophagus has been less well focused than other gastrointestinal (GI) tracts since the esophageal disorders are relatively uncommon. There has been no report on the prevalence of overall esophageal disorders in Korea. The aim of this study was to evaluate the prevalence of esophageal disorders in health examinee.
We reviewed retrospectively the endoscopic reports of 6,683 subjects who underwent upper GI endoscopy for screening purpose at Gyeongsang National University Hospital from March, 2005 to May, 2006.
Among 6,683 health examinee, 1,154 (17.26%) had esophageal diseases. Gastro-esophageal reflux diseases (GERD) were the most common diseases (14.66%). The prevalence of erosive reflux esophagitis, minor change esophagitis, and Barrett's esophagus was 8.45%, 5.01% and 1.12%, respectively. Hiatal hernia and esophageal submucosal tumor were 2nd and 3rd common diseases (2.0% and 0.6%, respectively). A variety of other esophageal disorders were seen as well. The esophageal disorders with over 0.1% of prevalence were esophageal varices (0.37%), esophageal squamous papilloma (0.31%), esophageal candidiasis (0.25%), nonspecific esophagitis (0.16%), heterotopic gastric mucosa (0.16%), and esophageal vascular ectasia (0.12%) in order.
The overall prevalence of esophageal disorders among health examinee was 17.3%. The GERD was the main esophageal disease and a variety of esophageal diseases were identified. The endoscopists need to take an interest in the esophageal disorders and a community-oriented well organized study should be warranted.
背景/目的：食管可发生多种疾病。然而，由于食管疾病相对不常见，食管受到的关注不如其他胃肠道。韩国尚无关于食管疾病总体患病率的报道。本研究旨在评估健康体检者中食管疾病的患病率。
我们回顾性分析了2005年3月至2006年5月在庆尚国立大学医院因筛查目的接受上消化道内镜检查的6683名受试者的内镜报告。
在6683名健康体检者中，1154人（17.26%）患有食管疾病。胃食管反流病（GERD）是最常见的疾病（14.66%）。糜烂性反流性食管炎、微小变化性食管炎和巴雷特食管的患病率分别为8.45%、5.01%和1.12%。食管裂孔疝和食管黏膜下肿瘤是第二和第三常见的疾病（分别为2.0%和0.6%）。还发现了多种其他食管疾病。患病率超过0.1%的食管疾病依次为食管静脉曲张（0.37%）、食管鳞状乳头状瘤（0.31%）、食管念珠菌病（0.25%）、非特异性食管炎（0.16%）、异位胃黏膜（0.16%）和食管血管扩张（0.12%）。
健康体检者中食管疾病的总体患病率为17.3%。GERD是主要的食管疾病，且发现了多种食管疾病。内镜医师需要关注食管疾病，并且应该开展有组织的社区导向研究。
