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Journal of the Korean Geriatrics Society 2006;10(4):271-277.
Published online December 31, 2006.
Clinical Analysis of Upper Gastrointestinal Diseases in Elderly Patients Underwent Esophagogastroduodenoscopy
Jin Seok Park, Jae Hyung Sun, Woo Jin Kim, In Hyung Park, Soo Hwang Kim, Min Seok Han, Seung Cheol Son, Jong Hoon Won, Dong Ho Park, Yoon Cheol Kim, Soong Lee
Department of Internal Medicine, College of Medicine, Seonam University, Gwangju, Korea. lsmed@hanmail.net
상부 위장관 내시경을 시행받은 노인 환자에 대한 상부 위장관 질환의 임상적 고찰
Abstract
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 esophagogastroduodenoscopy.
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 esophagogastroduodenoscopy. The most common upper intestinal disease was chronic atrophic gastritis in the elderly. We recommend esophagogastroduodenoscopy for the elderly patients in regular interval because they may have vague and atypical symptoms or asymptom.
Key Words: Upper gastrointestinal diseases, Esophagogastroduodenoscopy, Elderly


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