尼泊尔一家三级保健医院接受上消化道内镜检查患者的胃癌患病率：一项描述性横断面研究。
Prevalence of Gastric Cancers among Patients Undergoing Upper Gastrointestinal Endoscopies in a Tertiary Care Hospital in Nepal: A Descriptive Cross-sectional Study.
机构信息
Department of Medicine, Manipal College of Medical Sciences and Teaching Hospital, Pokhara, Nepal.
Department of Radiodiagnosis and Imaging, Manipal College of Medical Sciences and Teaching Hospital, Pokhara, Nepal.
出版信息
JNMA J Nepal Med Assoc. 2021 Jan 31;59(233):65-68. doi: 10.31729/jnma.5657.
INTRODUCTION
Gastric cancer is a common malignancy of the upper gastrointestinal tract. Gastric cancer is a common cause of death worldwide. This research aimed to study the prevalence of gastric cancer among patients undergoing upper gastrointestinal endoscopies.
METHODS
A descriptive, cross-sectional study was conducted in the Department of Medicine at Manipal Teaching Hospital, Nepal, from January 2018 to June 2020. A total of 2640 subjects underwent upper gastrointestinal endoscopies over the study period. Ethical approval was taken from the institutional review committee of Manipal College of Medical Sciences (MEMG/ IRC/ 383/GA). Data were analyzed by SPSS version 20.
RESULTS
The prevalence of gastric cancer among patients undergoing UGI endoscopies was 2.4%. The mean age of subjects was 58±12.35 years (range of 31 to 96 years) with male predominance (M:F=1.9:1). Antrum was the most common site for gastric carcinoma. The most common morphology was ulcerative growth (61.6%). Adenocarcinoma (98.4%) was the most common histology, and the majority was of intestinal subtype (56.3%).
CONCLUSIONS
Gastric cancer is not an uncommon finding in patients undergoing UGI endoscopies. Gastric cancers were commonly seen above 50 years of age and predominant in males. Patients with gastric carcinoma usually present late with advanced disease stages and unfavorable histopathology.
简介
胃癌是上消化道常见的恶性肿瘤。胃癌是全世界范围内常见的死亡原因。本研究旨在研究接受上消化道内镜检查的患者中胃癌的患病率。
方法
这是一项在尼泊尔马纳尔教学医院内科进行的描述性、横断面研究，时间为 2018 年 1 月至 2020 年 6 月。在研究期间，共有 2640 名患者接受了上消化道内镜检查。本研究已获得马纳尔医学院机构审查委员会（MEMG/IRC/383/GA）的伦理批准。数据采用 SPSS 20 版进行分析。
结果
接受 UGI 内镜检查的患者中胃癌的患病率为 2.4%。研究对象的平均年龄为 58±12.35 岁（31 岁至 96 岁），男性居多（男女比例为 1.9:1）。胃窦是胃癌最常见的部位。最常见的形态是溃疡性生长（61.6%）。腺癌（98.4%）是最常见的组织学类型，其中多数为肠型（56.3%）。
结论
胃癌在上消化道内镜检查患者中并非罕见。胃癌常见于 50 岁以上人群，且男性居多。患有胃癌的患者通常出现晚期，疾病分期较晚，组织病理学表现不佳。
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