High prevalence of reflux oesophagitis among upper endoscopies of Iranian patients

Rezailashkajani, Mohammadreza; Roshandel, Delnaz; Shafaee, Sepideh; Zali, Mohammad Reza

doi:10.1097/meg.0b013e32811ebfec

Cited by 18 publications

(14 citation statements)

References 18 publications

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“…We agree, as hiatus hernia was present in almost 90% of our patients with IBS, dyspepsia, NERD and EE. Heartburn (r=0.25,p=0.005) and regurgitation of air (r=0.22, p=0.01) were associated with the presence of hiatus hernia, which agree with a report from Iran and the Middle East which states that hiatus hernia is associated with reflux esophagitis (Rezailashkajani et al 2007), a report from Prague in which reflux esophagitis is present in 50% of patients with hiatal hernia (Tenaiova et al 2007), and a report from Italy in which hiatus hernia was associated with frequent reflux symptoms and esophagitis (Zagari et al 2008). As reported (Fass 2007), we found a higher prevalence of hiatus hernia in patients with EE compared with NERD patients.…”

Section: Discussionsupporting

confidence: 89%

Endoscopic and symptoms analysis in Mexican patients with irritable Bowel syndrome, dyspepsia, and gastroesophageal reflux disease

Camacho

Bernal

Abdo

et al. 2010

An. Acad. Bras. Ciênc.

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The aim of this study was to analyze the data of endoscopy and symptoms in 118 Mexican patients with irritable bowel syndrome (IBS), dyspepsia, non-erosive reflux disease (NERD) and erosive esophagitis (EE). IBS criteria were fulfilling for dyspepsia patients in 47%, for NERD in 48%, and for EE patients in 48% of cases. Esophagitis was present in 42% of patients with IBS and in 45% of patients with dyspepsia. A higher prevalence of hiatus hernia was found in EE vs. NERD. Heartburn and acid eructation were associated with the presence of esophagitis; acid eructation, regurgitation and nocturnal pain with duodenitis; and heartburn and regurgitation with hiatus hernia. Males more frequently reported: mucus in feces, abdominal distension, nausea and gastritis; and women more frequently reported esophagitis and duodenitis. Patients with NERD (OR 2.54, 95% CI 1.08 to 5.99, p=0.04), tenesmus and early satiety, and men had an increase risk for reporting hard or lumpy stools. In conclusion, nearly half of the Mexican patients with NERD, EE and dyspepsia fulfill criteria for IBS. A large number of symptoms were correlated with endoscopy, which can be used to improve the indication of the endoscopy and its implementation in clinical studies.

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Section: Discussionsupporting

confidence: 89%

Endoscopic and symptoms analysis in Mexican patients with irritable Bowel syndrome, dyspepsia, and gastroesophageal reflux disease

Camacho

Bernal

Abdo

et al. 2010

An. Acad. Bras. Ciênc.

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“…Furthermore, we found a sharp correlation between the level of education and reflux (P <0.005) (17, 19, 29). Supportive studies from Iran and Asia showed similar results, while one study suggested the opposite (30).…”

Section: Discussionmentioning

confidence: 74%

An Epidemiological Study of Gastroesophageal Reflux Disease and Related Risk Factors in Urban Population of Mashhad, Iran

Vossoughinia¹,

Salari²,

Amirmajdi³

et al. 2014

Iran Red Crescent Med J

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Background:Gastroesophageal Reflux Disease (GERD) is a chronic and common disease, which is characterized by heartburn and regurgitation. In the last couple of decades, GERD has received much attention and studies have shown an increase in its prevalence. Although there have been a few studies on the prevalence of GERD in Iran, no study has yet been done in the northeastern part of the country. The aim of our study was to evaluate the prevalence of GERD and its risk factors in a population from Mashhad.Objectives:To evaluate the epidemiology of GERD based on a population study in Mashhad.Patients and Methods:This was a cross sectional descriptive study conducted in 2010. In total, 2500 participants were selected based on cluster sampling. Modified and validated Mayo Clinic questionnaire for GERD was used for data collection. Overall, 1685 questionnaires were retrieved. Fifty-one participants were excluded because of pregnancies, history of abdominal surgery and being less than 18 years old. We analyzed data using the SPSS software version 16. Prevalence of GERD and significant risk factors (P value < 0.05) were determined.Results:In total, 420 participants (25.7%) had GERD symptoms. Risk factors with significant effects consisted of smoking, consumption of non-steroidal anti-inflammatory drugs (NASIDs), overeating, chronic diseases, tea and coffee consumption and GERD in spouse.Conclusions:The prevalence of GERD among people living in Mashhad was above the average prevalence in other cities of Iran. However, risk factors seemed to be similar to those reported by other studies.

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“…[16]Even in some European countries such as Greece,[17]it has been found that there was a changing pattern of UGIE indications and findings in the years 1990, 1995, 2000 and 2005 with dyspepsia in 24.4%, 33.6%, 54.3% and 51.3% of cases, respectively (P = 0.002), and reflux in 1.8%, 1.3%, 5.1% and 10.8% of cases, respectively (P = 0.005). With these cases having more frequent indications for upper endoscopy and increasing frequency of reflux esophagitis to 16% in 2005, it lends more support to the fact that esophageal disease is increasing in frequency.…”

Section: Discussionmentioning

confidence: 99%

The changing pattern of upper gastro-intestinal lesions in southern Saudi Arabia: An endoscopic study

Al-Humayed

Mohamed-Elbagir

Al-Wabel

et al. 2010

Saudi J Gastroenterol

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Background/Aim:Dyspepsia is a common gastrointestinal disorder and is the most common indication for upper gastrointestinal endoscopy (UGIE). In recent years, it has been observed in several centers that there is a change in the causes of dyspepsia as revealed by UGIE. Our main objectives were: (1) To study the pattern of upper gastrointestinal pathology in patients with dyspepsia undergoing upper endoscopy; (2) Compare that with the pattern seen 10-15 years earlier in different areas of KSA.Patients and Methods:Retrospective study of all UGI endoscopies performed at Aseer Central Hospital, Abha, Southern Saudi Arabia during the years 2005-2007 on patients above 13 years of age. Patients who underwent UGIE for reasons other than dyspepsia were excluded. The analysis was performed using the SPSS 14 statistical package.Results:A total of 1,607 patients underwent UGI endoscopy during the three-year study period (age range, 15-100). There were 907 males (56.4%) and 700 female (43.6%). Normal findings were reported on 215 patients (14%) and the majority had gastritis (676 = 42%), of whom 344 had gastritis with ulcer disease. Moreover, 242 patients (15%) had gastro-esophageal reflux (GERD), with or without esophagitis or hiatus hernia. Also, a total of 243 patients had duodenal ulcer (DU) (15%) while only 12 had gastric ulcer (0.7%).Discussion and Conclusion: There is clear change in the frequency of UGIE lesions detected recently compared to a decade ago with an increasing prevalence of reflux esophagitis and hiatus hernia. This could be attributed to changes in lifestyle and dietary habits such as more consumption of fat and fast food, increased prevalence of obesity, and smoking. These problems should be addressed in order to minimize the serious complications of esophageal diseases.

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High prevalence of reflux oesophagitis among upper endoscopies of Iranian patients

Abstract: This study showed a significantly higher prevalence of reflux esophagitis among Iranian upper-endoscopy outpatients compared with the findings of non-Iranian studies.

Cited by 18 publications

References 18 publications

Endoscopic and symptoms analysis in Mexican patients with irritable Bowel syndrome, dyspepsia, and gastroesophageal reflux disease

Endoscopic and symptoms analysis in Mexican patients with irritable Bowel syndrome, dyspepsia, and gastroesophageal reflux disease

An Epidemiological Study of Gastroesophageal Reflux Disease and Related Risk Factors in Urban Population of Mashhad, Iran

The changing pattern of upper gastro-intestinal lesions in southern Saudi Arabia: An endoscopic study

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