PREVALENCE OF GASTROESOPHAGEAL REFLUX DISEASE ACCORDING TO THE RESULTS OF ENDOSCOPIC EXAMINATIONS
DOI:
https://doi.org/10.11603/1811-2471.2017.v0.i2.7701Keywords:
gastroesophageal reflux disease, erosive esophagitis, prevalence.Abstract
SUMMARY. Gastroesophageal reflux disease (GERD) remains nowadays one of the most currently important problems of gastroenterology. The high prevalence rate of this pathology among people of working age affects negatively the social and economical conditions of their life, so more profound research for early recognition and treatment is required. The diversity of clinical manifestations and not entirely cleared up etiological and pathogenetic chains determine unfailing interest in research of GERD. Unfortunately, there are actually no reliable data about the prevalence rate of GERD in Ukraine.
The aim – to study the prevalence rate of endoscopic positive form of GERD among patients of the Novoiavorivsk District Hospital (Lviv Region) during 2011–2015.
Materials and Methods. Retrospective analysis of the registration logs of the endoscopic examinations from 2011 to 2015 was carried out. The endoscopic examinations were conducted with fibergastroscopes Olympus and Pentax. Changes of esophageal mucosa were determined according to the Los Angeles classification system (1997). The computer data processing was carried out with Microsoft Excel.
Results. As of from 2011 to 2015, 7571 endoscopic examinations were carried out, of which in 959 examined patients (12.7 %) erosive esophagitis was recognized. In 2011, there were 241 patients with erosive changes of the esophagus: stage A – 230 patients, stage B – 10 patients, and stage D – 1 patient. In 2012, 117 cases of esophagitis were registered: stage A – 110 cases, stage B – 6 cases, stage C – 1 case. In 2013, 236 cases of esophagitis were recognized: stage A – 197 cases, stage B – 34 cases, stage C – 5 case, and stage D – 3 cases. The structure of the endoscopic positive GERD in 2014 was as follows: stage A – 94 cases of esophagitis, stage B – 20, stage C – 3. In 2015, there were recognized 245 patients with erosive esophagitis, of which stage A – 201 patients, stage B – 41 patients, and stage C – 3 patients.
Conclusions. The prevalence of the endoscopic positive form of GERD during the period from 2011 to 2015 was on average of 13.4 % within the territory of medical supplies of the Novoiavorivsk District Hospital No. 1. The most distinctive for the erosive damage was esophagitis of stage A. The most frequently, erosive esophagitis was recognized in patients of working age.
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