Caglar Erkan, Baysal Birol, Dobrucalı Ahmet
Department of Gastroenterology, Cerrahpasa Medical Faculty, Istanbul University, 34098 Istanbul, Turkey ; Division of Gastroenterology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Cerrahpaşa Tıp Fakültesi, Fatih, 34098 Istanbul, Turkey.
Department of Gastroenterology, Cerrahpasa Medical Faculty, Istanbul University, 34098 Istanbul, Turkey.
Diagn Ther Endosc. 2014;2014:262638. doi: 10.1155/2014/262638. Epub 2014 Sep 8.
Objectives. We have investigated the changes in the incidence of various diagnoses that have been made in the endoscopy unit throughout the last 40 years. Methods. In this study, changes in the incidence of endoscopic diagnosis in upper gastrointestinal system between 1970 and 2010 were evaluated. Their diagnosis, age, and gender data were entered into the Excel software. Results. Of the 52816 cases who underwent esophagogastroduodenoscopy in the 40-year time period, the mean age was 48.17 ± 16.27 (mean ± SD). Although overall more than half of the patients were male (54.3%), in 1995 and after a marked increase was seen in the proportion of female gender (51-55%). The presence of hiatal hernia, reflux esophagitis, and the number of Barrett's esophaguses significantly increased. Erosive gastritis showed gradual increase, while the number of gastric ulcers decreased significantly. The presence of gastric and esophageal cancer significantly decreased. The number of duodenal ulcers significantly decreased. Conclusion. We detected that the incidences of esophagitis, Barrett's esophagus, and erosive gastritis significantly increased while the incidences of gastric/duodenal ulcer and gastric/esophageal cancer decreased throughout the last 40 years.
目的。我们研究了过去40年里内镜科所做出的各种诊断的发病率变化。方法。在本研究中，评估了1970年至2010年间上消化道系统内镜诊断发病率的变化。将其诊断、年龄和性别数据录入Excel软件。结果。在这40年期间接受食管胃十二指肠镜检查的52816例患者中，平均年龄为48.17±16.27（均值±标准差）。虽然总体上超过一半的患者为男性（54.3%），但在1995年及之后，女性比例显著增加（51 - 55%）。食管裂孔疝、反流性食管炎的发生率以及巴雷特食管的数量显著增加。糜烂性胃炎呈逐渐上升趋势，而胃溃疡的数量显著减少。胃癌和食管癌的发生率显著下降。十二指肠溃疡的数量显著减少。结论。我们发现，在过去40年里，食管炎、巴雷特食管和糜烂性胃炎的发病率显著上升，而胃/十二指肠溃疡和胃/食管癌的发病率下降。
