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Changing prevalence of upper gastrointestinal disease in 28 893 Koreans from 1995 to 2005

Cited 31 time in Web of Science Cited 40 time in Scopus
Authors
Kim, Jin Il; Kim, Sang Gyun; Kim, Nayoung; Kim, Jae Gyu; Kim, Sang Woo; Sung, Jae Kyu; Shim, Ki-Nam; Park, Joon Yong; Lee, Sang Woo; Jung, Hyun Chae; Lee, Sang In; Seo, Geom Seog; Lee, Gin Hyug; Hong, Soo Jin; Park, Jong Jae; Baik, Gwang Ho; Park, Seun Ja; Yang, Chang Heon; Kim, Hyun Soo; Shin, Sung Jae
Issue Date
2009-07
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Citation
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY; Vol.21 7; 787-793
Keywords
gastric cancerpeptic ulcerHelicobacter pylorireflux esophagitis
Abstract
Objectives Changes in the pattern of gastrointestinal diseases in a population tend to be influenced by changes in diet and lifestyle. Shifts in gastrointestinal disease from 1995 to 2005 in Korea were evaluated, retrospectively. Methods Seventeen nationwide medical centers participated in this study. The cross-sectional review of endoscopic findings in 28893 patients included 8441 patients from 1995,10350 patients from 2000, and 10 102 patients from 2005. Results The prevalence of reflux esophagitis increased from 1.8% in 1995 to 5.9% in 2000 and 9.1% in 2005 (P<0.001, the P value was only for the comparison between 1995 and 2005, the followings were as same). The prevalence of peptic ulcer diseases was 18.0% in 1995, 19.1% in 2000, and 20.2% in 2005 (P<0.001). Although no significant differences were noted in duodenal ulcers (8.4, 8.7, and 8.2%, P=0.449), gastric ulcers showed an increasing trend (9.6, 10.5, and 12.0%, P<0.001). The prevalence of gastric cancer increased from 3.4% in 1995 to 4.5% in 2000 (P<0.001), but then decreased to 2.4% in 2005 (P<0.001). The incidence of advanced gastric cancer was 2.5, 3.2, and 1.3%, respectively (P<0.001), and that of early gastric cancer remained constant with rates of 0.8%, 1.3, and 1.1%, respectively (P=0.056). Conclusion The cross-sectional review of data collected in 1995, 2000, and 2005 showed an increase in reflux esophagitis and peptic ulcer diseases. Meanwhile, the prevalence of gastric cancer increased until 2000, but decreased in 2005. Eur J Gastroenterol Hepatol 21:787-793 (C) 2009 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.
ISSN
0954-691X
Language
English
URI
https://hdl.handle.net/10371/76443
DOI
https://doi.org/10.1097/MEG.0b013e32830e285a
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College of Medicine/School of Medicine (의과대학/대학원)Internal Medicine (내과학전공)Journal Papers (저널논문_내과학전공)
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