Role of earlier gastroscopy in predicting findings on repeat gastroscopy in a population with a lowH. pyloriprevalence
| العنوان: | Role of earlier gastroscopy in predicting findings on repeat gastroscopy in a population with a lowH. pyloriprevalence |
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| المؤلفون: | Seppo Sarna, Hilpi Rautelin, Boriana Korudanova, Aino Oksanen, Pentti Sipponen, Lea Veijola |
| المصدر: | Scandinavian Journal of Gastroenterology. 43:1044-1049 |
| بيانات النشر: | Informa UK Limited, 2008. |
| سنة النشر: | 2008 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Helicobacter pylori infection, Time Factors, Population, Patient characteristics, Risk Assessment, Severity of Illness Index, Gastroenterology, Helicobacter Infections, Cohort Studies, 03 medical and health sciences, Age Distribution, 0302 clinical medicine, Predictive Value of Tests, Recurrence, Internal medicine, Gastroscopy, Epidemiology, Ambulatory Care, Prevalence, Humans, Medicine, Sex Distribution, education, Aged, Probability, Retrospective Studies, 030304 developmental biology, Aged, 80 and over, 0303 health sciences, education.field_of_study, Helicobacter pylori, business.industry, Esophageal disease, Middle Aged, medicine.disease, 3. Good health, Logistic Models, Female, 030211 gastroenterology & hepatology, business, Esophagitis, Follow-Up Studies |
| الوصف: | Repeat gastroscopy is not recommended for patients without alarm symptoms and with a normal earlier gastroscopy. However, there is little information available on the consequences of this recommendation. The objective of this study was to examine the role of earlier gastroscopy results in predicting the findings at repeat gastroscopy.Patients with previous gastroscopies presenting for a new gastroscopy during 2004-05 were included consecutively. A total of 293 patients who had undergone a gastroscopy a mean of 7.7 years (range 0.6-25.4 years) before the present gastroscopy were included in the study. The patients completed a questionnaire. The associations between the findings of the present gastroscopy and the findings of the previous gastroscopy and other patient characteristics were analysed by stepwise logistic regression.Nine percent of the patients were positive for Helicobacter pylori infection. An abnormal macroscopic finding, defined as any erosion, ulcer or other macroscopic finding with the exception of hiatus hernia, at the repeat gastroscopy was significantly positively associated with: 1) an abnormal finding at a previous gastroscopy (OR 2.94, 95% CI 1.48-5.85), 2) obesity (body mass index, BMI30) (OR 2.89, 95% CI 1.28-6.55), 3) the presence of alarm symptoms (OR 2.68, 95% CI 1.29-5.56), and negatively associated with 4) the use of proton pump inhibitors (OR 0.48, 95% CI 0.24-0.98). The findings were not associated with age.Abnormal earlier gastroscopy findings, obesity and the presence of alarm symptoms were the strongest indicators of abnormal findings at repeat gastroscopy. Our results support a restrained gastroscopy policy in patients with no alarm symptoms and a normal earlier gastroscopy. |
| تدمد: | 1502-7708 0036-5521 |
| DOI: | 10.1080/00365520802078333 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0e0567d23c972e8b234df54a320157b4 https://doi.org/10.1080/00365520802078333 |
| رقم الانضمام: | edsair.doi.dedup.....0e0567d23c972e8b234df54a320157b4 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15027708 00365521 |
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| DOI: | 10.1080/00365520802078333 |