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KMID : 0828520060100040271
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Journal of the Korean Geriatrics Society
2006 Volume.10 No. 4 p.271 ~ p.277
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Clinical Analysis of Upper Gastrointestinal Diseases in Elderly Patients Underwent Esophagogastroduodenoscopy
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Park Jin-Seok
Sun Jae-Hyung
Kim Woo-Jin
Park In-Hyung
Kim Soo-Hwang
Han Min-Seok
Son Seung-Cheol
Won Jong-Hoon
Park Dong-Ho
Kim Yoon-Cheol
Lee Soong
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Abstract
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Background: Recently the elderly people have increased in Korea. So, the interest of upper gastrointestinal diseases have increased. Our aim was to determine clinical characteristics of upper gastrointestinal diseases in the elderly patients underwent esophagogast- roduodenoscopy.
Methods: We investigated clinical characteristics of 1190 elderly patients aged 65 years or older and 952 controls aged 64 years or younger who underwent esophagogastrodu odenoscopy in Seonam University Hospital from Jan. 2000 to Dec. 2004. retrospecti vely. Only two main symptoms were included among symptoms of two or over. The endoscopic findings were in the same manner.
Results: The average age were 73.9 (±7.25)-year-old in the elderly, and 47.2 (±11.32)-year-old in controls. The most common symptom was dyspepsia in the elderly and in controls. The most common endoscopic findings showed chronic atrophic gastritis in the elderly, and chronic erythematous & erosive gastritis in controls. 64% was positive in 424 cases performed rapid urease test in the elderly and 63% was positive in controls. The most common associated diseases was hypertension in both group. The history of Non-steroidal anti-inflammatory drugs and aspirins were 21% in the elderly, and 15% in controls.
Conclusion: We found that dyspepsia was the most common symptom in the elderly and controls underwent esophagogastroduo- denoscopy. The most common upper intestinal disease was chronic atrophic gastritis in the elderly. We recommend esophagogast- roduodenoscopy for the elderly patients in regular interval because they may have vague and atypical symptoms or asymptom.
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KEYWORD
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Upper gastrointestinal diseases, Esophagogastroduodenoscopy, Elderly
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