Ayala Ríos Sylvana, Pichilingue Prieto Oscar, Capcha Loyola Tito, Alba Rodríguez María Esther, Pichilingue Reto Catherina
Hospital Nacional Hipólito Unanue, Lima, Perú.
Rev Gastroenterol Peru. 2013 Jan-Mar;33(1):28-33.
To identify clinical, endoscopic and histological characteristics and their relationship with Helicobacter pylori (Hp) in patients treated with the diagnosis of dyspepsia in our hospital during 2010.
We conducted a cross sectional and retrospective study in the population attending our hospital during 2010, a sample of 300 patients was studied. We evaluated clinical, histological and endoscopic findings. An instrument of data collection was made. We used the statistical package SPSS 15.0.
It was found that the majority were female (63%), while the mean age at diagnosis was 42 years, mostly from SJL district (30%) of these Andean origin (50 %) was the highest percentage. Only 19% showed signs of alarm, low weight characterize this group (14%), the endoscopic findings most commonly found were antral erythema (74.7%), followed by erosions (32.9%) and nodules (22%). Hp infection was found in 93%, mild dysplasia was present in 2.7% and atrophy in only 14.7%. The 98.5% of patients with nodularity on endoscopy had Hp infection.
The most frequent dyspeptic symptoms were epigastric pain followed by abdominal distension, the female gender was present more often, the warning signs were rare, antral erythema was the feature most found in endoscopies. Hp infection was significantly associated with some features such as endoscopic antral nodularity and erythema as well as had relation to the activity of gastritis.
确定2010年在我院接受消化不良诊断治疗的患者的临床、内镜和组织学特征及其与幽门螺杆菌(Hp)的关系。
我们对2010年在我院就诊的人群进行了一项横断面回顾性研究,研究了300例患者的样本。我们评估了临床、组织学和内镜检查结果。制作了一份数据收集工具。我们使用了统计软件包SPSS 15.0。
发现大多数为女性(63%),诊断时的平均年龄为42岁,其中大多来自SJL区(30%),安第斯血统(50%)的比例最高。只有19%表现出警示迹象,该组以体重低为特征(14%),最常见的内镜检查结果是胃窦红斑(74.7%),其次是糜烂(32.9%)和结节(22%)。发现93%的患者有Hp感染,2.7%存在轻度发育异常,仅有14.7%存在萎缩。内镜检查有结节的患者中98.5%有Hp感染。
最常见的消化不良症状是上腹部疼痛,其次是腹胀,女性更为常见,警示迹象罕见,胃窦红斑是内镜检查中最常见的特征。Hp感染与内镜下胃窦结节和红斑等一些特征显著相关,也与胃炎的活动有关。