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Clinical Characteristics of Gastroesophageal Reflux Disease with Esophageal Injury in Korean: Focusing on Risk Factors / 대한소화기학회지
The Korean Journal of Gastroenterology ; : 281-287, 2011.
Article in Korean | WPRIM | ID: wpr-175653
ABSTRACT
BACKGROUND/

AIMS:

Recent studies suggest that the prevalence of gastroesophageal reflux disease (GERD) is increasing in Korea. However, studies on risk factors for GERD have yielded inconsistent results. The aims of this study were to compare clinical features between symptomatic syndromes without esophageal injury (=non-erosive disease [NED]) and syndromes with esophageal injury (=erosive disease [ED]), and to determine risk factors associated ED.

METHODS:

A total of 450 subjects who visited gastroenterology clinics of six training hospitals in Daegu from March 2008 to April 2010 were consecutively enrolled. The subjects were asked to complete a questionnaire which inquired about gastroesophageal reflux symptoms. The questionnaire also included questions about smoking, alcohol drinking, consumption of coffee, use of drugs, exercise, and other medical history. The subjects were subdivided into NED and ED groups.

RESULTS:

The proportion of subjects in each NED and ED group was 172 (38.2%) and 278 (61.8%). Male gender, smoking, alcohol drinking, consumption of coffee, large waist circumference, infrequent medication of antacids, aspirin and NSAIDs, infrequent and mild GERD symptoms were all significantly associated with ED on univariate analysis. Age, hiatal hernia, diabetes mellitus, body mass index, change in weight during 1 year, and number of typical GERD symptoms were not independent risk factors for ED. However, the association between ED and alcohol drinking, infrequent medication of antacids, mild typical GERD symptoms remained as strong risk factors after adjustments on multivariate logistic analysis.

CONCLUSIONS:

Independent risk factors associated with ED were alcohol drinking, infrequent medication of antacids and mild typical GERD symptoms.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Barrett Esophagus / Severity of Illness Index / Alcohol Drinking / Esophagitis, Peptic / Gastroesophageal Reflux / Body Mass Index / Logistic Models / Sex Factors / Anti-Inflammatory Agents, Non-Steroidal / Aspirin Type of study: Etiology study / Prognostic study / Risk factors Limits: Adolescent / Adult / Aged / Female / Humans / Male Country/Region as subject: Asia Language: Korean Journal: The Korean Journal of Gastroenterology Year: 2011 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Barrett Esophagus / Severity of Illness Index / Alcohol Drinking / Esophagitis, Peptic / Gastroesophageal Reflux / Body Mass Index / Logistic Models / Sex Factors / Anti-Inflammatory Agents, Non-Steroidal / Aspirin Type of study: Etiology study / Prognostic study / Risk factors Limits: Adolescent / Adult / Aged / Female / Humans / Male Country/Region as subject: Asia Language: Korean Journal: The Korean Journal of Gastroenterology Year: 2011 Type: Article