Maekawa T, Kinoshita Y, Okada A, Fukui H, Waki S, Hassan S, Matsushima Y, Kawanami C, Kishi K, Chiba T
Department of Gastroenterology and Hepatology, Kyoto University Graduate School of Medicine, Japan.
J Gastroenterol Hepatol. 1998 Sep;13(9):927-30. doi: 10.1111/j.1440-1746.1998.tb00763.x.
Since information concerning reflux oesophagitis in the elderly is limited, particularly in Japan, the severity and symptomatic profiles of reflux oesophagitis in elderly patients were investigated. One hundred and nineteen patients with reflux oesophagitis found among 2278 endoscopy cases between 1993 and 1996 were investigated in this study. The patients were divided into two groups, elderly and non-elderly. The severity of reflux oesophagitis was estimated by the Los Angeles classification. The presence or absence of typical symptoms (heartburn and regurgitation) was determined by interview. Reflux oesophagitis was not only more frequently found in the elderly group, but was more severe than in the non-elderly. Although the degree of manifestation of typical symptoms was similar between the elderly and the non-elderly with high-grade oesophagitis, the elderly patients with mild reflux oesophagitis were less symptomatic than the non-elderly. Mild reflux oesophagitis in the elderly may be missed due to its rarity of typical reflux symptoms and a substantial number of elderly persons might have subclinical reflux oesophagitis.
由于关于老年人反流性食管炎的信息有限，尤其是在日本，因此对老年患者反流性食管炎的严重程度和症状特征进行了调查。本研究调查了1993年至1996年间2278例内镜检查病例中发现的119例反流性食管炎患者。患者被分为两组，老年组和非老年组。反流性食管炎的严重程度采用洛杉矶分类法评估。通过访谈确定是否存在典型症状（烧心和反流）。反流性食管炎不仅在老年组中更常见，而且比非老年组更严重。尽管在患有重度食管炎的老年人和非老年人中，典型症状的表现程度相似，但轻度反流性食管炎的老年患者症状比非老年患者少。老年患者的轻度反流性食管炎可能因其典型反流症状罕见而被漏诊，并且大量老年人可能患有亚临床反流性食管炎。
