Bleeding and stenosis caused by reflux esophagitis was not common in emergency endoscopic examinations: a retrospective patient chart review at a single institution in Japan
Background Bleeding and stenosis are serious complications of reflux esophagitis, although few studies have been performed in Japan regarding these complications. This study aimed to indicate the characteristics of reflux esophagitis observed during emergency endoscopic examination in Japan. Methods...
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Veröffentlicht in: | Journal of gastroenterology 2008-04, Vol.43 (4), p.265-269 |
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creator | Yamaguchi, Miyuki Iwakiri, Ryuichi Yamaguchi, Kanako Mizuta, Toshihiko Shimoda, Ryo Sakata, Yasuhisa Hisatomi, Akitaka Mizuguchi, Masanobu Sato, Seiji Miyazaki, Kohji Fujimoto, Kazuma |
description | Background
Bleeding and stenosis are serious complications of reflux esophagitis, although few studies have been performed in Japan regarding these complications. This study aimed to indicate the characteristics of reflux esophagitis observed during emergency endoscopic examination in Japan.
Methods
All subjects who had emergency endoscopic examination performed between 1990 and 2004 at Saga Medical School Hospital were evaluated. Patients with endoscopic reflux esophagitis were evaluated with a retrospective patient chart review.
Results
A total of 1621 subjects underwent emergency endoscopy; 1420 of the endoscopies were because of hematemesis or melena. Endoscopic examination revealed that 19 cases with bleeding were caused by reflux esophagitis (19/1621, 1.2%). The 19 patients with bleeding and the four patients with stenosis (0.2%) had emergency endoscopy performed for complications of reflux esophagitis. The Los Angeles classification of these 23 cases showed that most were severe esophagitis (grade A, 0; B, 2; C, 8; and D, 13). The frequency of comorbidity with diabetes mellitus and collagen disease and the proportion of heavy drinkers were higher in patients who received emergency endoscopy because of reflux esophagitis than in those diagnosed with reflux esophagitis but who received emergency endoscopy because of other diseases.
Conclusions
Relatively small numbers of patients with reflux esophagitis undergo emergency endoscopy in Japan, and most such patients have underlying diseases, including diabetes mellitus and collagen disease. This finding is supported by a previous report that severe esophagitis is not common in Japan. |
doi_str_mv | 10.1007/s00535-007-2157-2 |
format | Article |
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Bleeding and stenosis are serious complications of reflux esophagitis, although few studies have been performed in Japan regarding these complications. This study aimed to indicate the characteristics of reflux esophagitis observed during emergency endoscopic examination in Japan.
Methods
All subjects who had emergency endoscopic examination performed between 1990 and 2004 at Saga Medical School Hospital were evaluated. Patients with endoscopic reflux esophagitis were evaluated with a retrospective patient chart review.
Results
A total of 1621 subjects underwent emergency endoscopy; 1420 of the endoscopies were because of hematemesis or melena. Endoscopic examination revealed that 19 cases with bleeding were caused by reflux esophagitis (19/1621, 1.2%). The 19 patients with bleeding and the four patients with stenosis (0.2%) had emergency endoscopy performed for complications of reflux esophagitis. The Los Angeles classification of these 23 cases showed that most were severe esophagitis (grade A, 0; B, 2; C, 8; and D, 13). The frequency of comorbidity with diabetes mellitus and collagen disease and the proportion of heavy drinkers were higher in patients who received emergency endoscopy because of reflux esophagitis than in those diagnosed with reflux esophagitis but who received emergency endoscopy because of other diseases.
Conclusions
Relatively small numbers of patients with reflux esophagitis undergo emergency endoscopy in Japan, and most such patients have underlying diseases, including diabetes mellitus and collagen disease. This finding is supported by a previous report that severe esophagitis is not common in Japan.</description><identifier>ISSN: 0944-1174</identifier><identifier>EISSN: 1435-5922</identifier><identifier>DOI: 10.1007/s00535-007-2157-2</identifier><identifier>PMID: 18458841</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Abdominal Surgery ; Alimmentary Tract ; Colorectal Surgery ; Diagnosis, Differential ; Emergencies ; Endoscopy, Gastrointestinal - methods ; Esophageal Stenosis - diagnosis ; Esophageal Stenosis - epidemiology ; Esophageal Stenosis - etiology ; Esophagitis, Peptic - complications ; Esophagitis, Peptic - diagnosis ; Female ; Gastroenterology ; Gastrointestinal Hemorrhage - diagnosis ; Gastrointestinal Hemorrhage - epidemiology ; Gastrointestinal Hemorrhage - etiology ; Hepatology ; Hospitals, University ; Humans ; Incidence ; Japan - epidemiology ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Prognosis ; Retrospective Studies ; Severity of Illness Index ; Surgical Oncology</subject><ispartof>Journal of gastroenterology, 2008-04, Vol.43 (4), p.265-269</ispartof><rights>Springer Japan 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-e5f58f9d3429c604612dca788bbc6f03a2d7e3fe1ef11dadf02b10d3acfd19ae3</citedby><cites>FETCH-LOGICAL-c422t-e5f58f9d3429c604612dca788bbc6f03a2d7e3fe1ef11dadf02b10d3acfd19ae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00535-007-2157-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00535-007-2157-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18458841$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamaguchi, Miyuki</creatorcontrib><creatorcontrib>Iwakiri, Ryuichi</creatorcontrib><creatorcontrib>Yamaguchi, Kanako</creatorcontrib><creatorcontrib>Mizuta, Toshihiko</creatorcontrib><creatorcontrib>Shimoda, Ryo</creatorcontrib><creatorcontrib>Sakata, Yasuhisa</creatorcontrib><creatorcontrib>Hisatomi, Akitaka</creatorcontrib><creatorcontrib>Mizuguchi, Masanobu</creatorcontrib><creatorcontrib>Sato, Seiji</creatorcontrib><creatorcontrib>Miyazaki, Kohji</creatorcontrib><creatorcontrib>Fujimoto, Kazuma</creatorcontrib><title>Bleeding and stenosis caused by reflux esophagitis was not common in emergency endoscopic examinations: a retrospective patient chart review at a single institution in Japan</title><title>Journal of gastroenterology</title><addtitle>J Gastroenterol</addtitle><addtitle>J Gastroenterol</addtitle><description>Background
Bleeding and stenosis are serious complications of reflux esophagitis, although few studies have been performed in Japan regarding these complications. This study aimed to indicate the characteristics of reflux esophagitis observed during emergency endoscopic examination in Japan.
Methods
All subjects who had emergency endoscopic examination performed between 1990 and 2004 at Saga Medical School Hospital were evaluated. Patients with endoscopic reflux esophagitis were evaluated with a retrospective patient chart review.
Results
A total of 1621 subjects underwent emergency endoscopy; 1420 of the endoscopies were because of hematemesis or melena. Endoscopic examination revealed that 19 cases with bleeding were caused by reflux esophagitis (19/1621, 1.2%). The 19 patients with bleeding and the four patients with stenosis (0.2%) had emergency endoscopy performed for complications of reflux esophagitis. The Los Angeles classification of these 23 cases showed that most were severe esophagitis (grade A, 0; B, 2; C, 8; and D, 13). The frequency of comorbidity with diabetes mellitus and collagen disease and the proportion of heavy drinkers were higher in patients who received emergency endoscopy because of reflux esophagitis than in those diagnosed with reflux esophagitis but who received emergency endoscopy because of other diseases.
Conclusions
Relatively small numbers of patients with reflux esophagitis undergo emergency endoscopy in Japan, and most such patients have underlying diseases, including diabetes mellitus and collagen disease. This finding is supported by a previous report that severe esophagitis is not common in Japan.</description><subject>Abdominal Surgery</subject><subject>Alimmentary Tract</subject><subject>Colorectal Surgery</subject><subject>Diagnosis, Differential</subject><subject>Emergencies</subject><subject>Endoscopy, Gastrointestinal - methods</subject><subject>Esophageal Stenosis - diagnosis</subject><subject>Esophageal Stenosis - epidemiology</subject><subject>Esophageal Stenosis - etiology</subject><subject>Esophagitis, Peptic - complications</subject><subject>Esophagitis, Peptic - diagnosis</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Gastrointestinal Hemorrhage - diagnosis</subject><subject>Gastrointestinal Hemorrhage - epidemiology</subject><subject>Gastrointestinal Hemorrhage - etiology</subject><subject>Hepatology</subject><subject>Hospitals, University</subject><subject>Humans</subject><subject>Incidence</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Surgical Oncology</subject><issn>0944-1174</issn><issn>1435-5922</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1Uc1u1DAQthCILgsPwAVZHLiFehx7k3CDir-qUi_lHDn2ZOsqsUPGabsPxTviaFeqhMTFHvn7mfF8jL0F8RGEqM5JCF3qIpeFBJ2PZ2wDKr_oRsrnbCMapQqASp2xV0R3QkApdP2SnUGtdF0r2LA_XwZE58Oem-A4JQyRPHFrFkLHuwOfsR-WR44Up1uz9ymDD4Z4iInbOI4xcB84jjjvMdgDx-Ai2Th5y_HRjD6Y5GOgT9xkpzRHmtAmf498ygCGbHJr5pSxe48P3KTMozzNgNmWkk_LKl9bXJrJhNfsRW8Gwjene8t-fft6c_GjuLr-_vPi81VhlZSpQN3rum9cqWRjd0LtQDprqrruOrvrRWmkq7DsEbAHcMb1QnYgXGls76AxWG7Zh6PvNMffC1JqR08Wh8EEjAu1uwZqAVpl4vt_iHdxmUOerZVQgW4g73zL4Eiy-f-UF9pOsx_NfGhBtGuQ7THIdi3XIFuZNe9Oxks3ontSnJLLBHkkUIbCHuenzv93_QtuIa28</recordid><startdate>200804</startdate><enddate>200804</enddate><creator>Yamaguchi, Miyuki</creator><creator>Iwakiri, Ryuichi</creator><creator>Yamaguchi, Kanako</creator><creator>Mizuta, Toshihiko</creator><creator>Shimoda, Ryo</creator><creator>Sakata, Yasuhisa</creator><creator>Hisatomi, Akitaka</creator><creator>Mizuguchi, Masanobu</creator><creator>Sato, Seiji</creator><creator>Miyazaki, Kohji</creator><creator>Fujimoto, Kazuma</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>200804</creationdate><title>Bleeding and stenosis caused by reflux esophagitis was not common in emergency endoscopic examinations: a retrospective patient chart review at a single institution in Japan</title><author>Yamaguchi, Miyuki ; Iwakiri, Ryuichi ; Yamaguchi, Kanako ; Mizuta, Toshihiko ; Shimoda, Ryo ; Sakata, Yasuhisa ; Hisatomi, Akitaka ; Mizuguchi, Masanobu ; Sato, Seiji ; Miyazaki, Kohji ; Fujimoto, Kazuma</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-e5f58f9d3429c604612dca788bbc6f03a2d7e3fe1ef11dadf02b10d3acfd19ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Abdominal Surgery</topic><topic>Alimmentary Tract</topic><topic>Colorectal Surgery</topic><topic>Diagnosis, Differential</topic><topic>Emergencies</topic><topic>Endoscopy, Gastrointestinal - methods</topic><topic>Esophageal Stenosis - diagnosis</topic><topic>Esophageal Stenosis - epidemiology</topic><topic>Esophageal Stenosis - etiology</topic><topic>Esophagitis, Peptic - complications</topic><topic>Esophagitis, Peptic - diagnosis</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Gastrointestinal Hemorrhage - diagnosis</topic><topic>Gastrointestinal Hemorrhage - epidemiology</topic><topic>Gastrointestinal Hemorrhage - etiology</topic><topic>Hepatology</topic><topic>Hospitals, University</topic><topic>Humans</topic><topic>Incidence</topic><topic>Japan - epidemiology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Surgical Oncology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamaguchi, Miyuki</creatorcontrib><creatorcontrib>Iwakiri, Ryuichi</creatorcontrib><creatorcontrib>Yamaguchi, Kanako</creatorcontrib><creatorcontrib>Mizuta, Toshihiko</creatorcontrib><creatorcontrib>Shimoda, Ryo</creatorcontrib><creatorcontrib>Sakata, Yasuhisa</creatorcontrib><creatorcontrib>Hisatomi, Akitaka</creatorcontrib><creatorcontrib>Mizuguchi, Masanobu</creatorcontrib><creatorcontrib>Sato, Seiji</creatorcontrib><creatorcontrib>Miyazaki, Kohji</creatorcontrib><creatorcontrib>Fujimoto, Kazuma</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Journal of gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamaguchi, Miyuki</au><au>Iwakiri, Ryuichi</au><au>Yamaguchi, Kanako</au><au>Mizuta, Toshihiko</au><au>Shimoda, Ryo</au><au>Sakata, Yasuhisa</au><au>Hisatomi, Akitaka</au><au>Mizuguchi, Masanobu</au><au>Sato, Seiji</au><au>Miyazaki, Kohji</au><au>Fujimoto, Kazuma</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bleeding and stenosis caused by reflux esophagitis was not common in emergency endoscopic examinations: a retrospective patient chart review at a single institution in Japan</atitle><jtitle>Journal of gastroenterology</jtitle><stitle>J Gastroenterol</stitle><addtitle>J Gastroenterol</addtitle><date>2008-04</date><risdate>2008</risdate><volume>43</volume><issue>4</issue><spage>265</spage><epage>269</epage><pages>265-269</pages><issn>0944-1174</issn><eissn>1435-5922</eissn><abstract>Background
Bleeding and stenosis are serious complications of reflux esophagitis, although few studies have been performed in Japan regarding these complications. This study aimed to indicate the characteristics of reflux esophagitis observed during emergency endoscopic examination in Japan.
Methods
All subjects who had emergency endoscopic examination performed between 1990 and 2004 at Saga Medical School Hospital were evaluated. Patients with endoscopic reflux esophagitis were evaluated with a retrospective patient chart review.
Results
A total of 1621 subjects underwent emergency endoscopy; 1420 of the endoscopies were because of hematemesis or melena. Endoscopic examination revealed that 19 cases with bleeding were caused by reflux esophagitis (19/1621, 1.2%). The 19 patients with bleeding and the four patients with stenosis (0.2%) had emergency endoscopy performed for complications of reflux esophagitis. The Los Angeles classification of these 23 cases showed that most were severe esophagitis (grade A, 0; B, 2; C, 8; and D, 13). The frequency of comorbidity with diabetes mellitus and collagen disease and the proportion of heavy drinkers were higher in patients who received emergency endoscopy because of reflux esophagitis than in those diagnosed with reflux esophagitis but who received emergency endoscopy because of other diseases.
Conclusions
Relatively small numbers of patients with reflux esophagitis undergo emergency endoscopy in Japan, and most such patients have underlying diseases, including diabetes mellitus and collagen disease. This finding is supported by a previous report that severe esophagitis is not common in Japan.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>18458841</pmid><doi>10.1007/s00535-007-2157-2</doi><tpages>5</tpages></addata></record> |
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source | MEDLINE; SpringerLink Journals - AutoHoldings |
subjects | Abdominal Surgery Alimmentary Tract Colorectal Surgery Diagnosis, Differential Emergencies Endoscopy, Gastrointestinal - methods Esophageal Stenosis - diagnosis Esophageal Stenosis - epidemiology Esophageal Stenosis - etiology Esophagitis, Peptic - complications Esophagitis, Peptic - diagnosis Female Gastroenterology Gastrointestinal Hemorrhage - diagnosis Gastrointestinal Hemorrhage - epidemiology Gastrointestinal Hemorrhage - etiology Hepatology Hospitals, University Humans Incidence Japan - epidemiology Male Medicine Medicine & Public Health Middle Aged Prognosis Retrospective Studies Severity of Illness Index Surgical Oncology |
title | Bleeding and stenosis caused by reflux esophagitis was not common in emergency endoscopic examinations: a retrospective patient chart review at a single institution in Japan |
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