A Study of Reflux Esophagitis in an Apparently Healthy Population

Kose SEGAWA, Tomiyasu ARISAWA, Yasumasa NIWA, Tadashi KATO, Hidemi GOTO, Hiroaki YOSHIKANE, Masaya SHIMODAIRA, Eiji HAMAJIMA, Naoki Omiya, Yoshihisa TSUKAMOTO

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Abstract: To study reflux esophagitis in the general population, we reviewed the records of 64,171 apparently healthy Japanese adults, 48, 706 men and 15,465 women, who had undergone automated multiphasic health testing and services (AMHTS), a comprehensive routine medical health check, that includes double‐contrast upper gastrointestinal roentgenograms. All subjects suspected of having gastrointestinal disease underwent a flexible fiberscopy as indicated. Reflux esophagitis was thus confirmed in 101 subjects. The prevalence of refla esophugitis was 0.20% among men and 0.04% among women (men vs. women p<0.001) and its frequency increased with age in both men (p<0.001) and women (p<0.05). Endoscopic classification according to the Savary‐Miller criteria yielded 48, 27, 23, and patients in Stage I, II, III and IV, respectively. In this series, 49/101 (48.5%) of the esophagitis patients had concurrent upper gastrointestinal abnormalities. The incidence of heavy smoking and excessive drinking of alcohol was significantly higher in the patients with reflux esophagitis (p<0.001 and p<0.005, respectively) as compared with the normal population.

Original languageEnglish
Pages (from-to)62-66
Number of pages5
JournalDigestive Endoscopy
Volume5
Issue number1
DOIs
Publication statusPublished - 01-01-1993

Fingerprint

Peptic Esophagitis
Population
Multiphasic Screening
Esophagitis
Gastrointestinal Diseases
Alcohol Drinking
Health Services
Smoking
Incidence
Health

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Cite this

SEGAWA, K., ARISAWA, T., NIWA, Y., KATO, T., GOTO, H., YOSHIKANE, H., ... TSUKAMOTO, Y. (1993). A Study of Reflux Esophagitis in an Apparently Healthy Population. Digestive Endoscopy, 5(1), 62-66. https://doi.org/10.1111/j.1443-1661.1993.tb00594.x
SEGAWA, Kose ; ARISAWA, Tomiyasu ; NIWA, Yasumasa ; KATO, Tadashi ; GOTO, Hidemi ; YOSHIKANE, Hiroaki ; SHIMODAIRA, Masaya ; HAMAJIMA, Eiji ; Omiya, Naoki ; TSUKAMOTO, Yoshihisa. / A Study of Reflux Esophagitis in an Apparently Healthy Population. In: Digestive Endoscopy. 1993 ; Vol. 5, No. 1. pp. 62-66.
@article{80e88e99c11e4594b395d4b4cd0c092e,
title = "A Study of Reflux Esophagitis in an Apparently Healthy Population",
abstract = "Abstract: To study reflux esophagitis in the general population, we reviewed the records of 64,171 apparently healthy Japanese adults, 48, 706 men and 15,465 women, who had undergone automated multiphasic health testing and services (AMHTS), a comprehensive routine medical health check, that includes double‐contrast upper gastrointestinal roentgenograms. All subjects suspected of having gastrointestinal disease underwent a flexible fiberscopy as indicated. Reflux esophagitis was thus confirmed in 101 subjects. The prevalence of refla esophugitis was 0.20{\%} among men and 0.04{\%} among women (men vs. women p<0.001) and its frequency increased with age in both men (p<0.001) and women (p<0.05). Endoscopic classification according to the Savary‐Miller criteria yielded 48, 27, 23, and patients in Stage I, II, III and IV, respectively. In this series, 49/101 (48.5{\%}) of the esophagitis patients had concurrent upper gastrointestinal abnormalities. The incidence of heavy smoking and excessive drinking of alcohol was significantly higher in the patients with reflux esophagitis (p<0.001 and p<0.005, respectively) as compared with the normal population.",
author = "Kose SEGAWA and Tomiyasu ARISAWA and Yasumasa NIWA and Tadashi KATO and Hidemi GOTO and Hiroaki YOSHIKANE and Masaya SHIMODAIRA and Eiji HAMAJIMA and Naoki Omiya and Yoshihisa TSUKAMOTO",
year = "1993",
month = "1",
day = "1",
doi = "10.1111/j.1443-1661.1993.tb00594.x",
language = "English",
volume = "5",
pages = "62--66",
journal = "Digestive Endoscopy",
issn = "0915-5635",
publisher = "Wiley-Blackwell",
number = "1",

}

SEGAWA, K, ARISAWA, T, NIWA, Y, KATO, T, GOTO, H, YOSHIKANE, H, SHIMODAIRA, M, HAMAJIMA, E, Omiya, N & TSUKAMOTO, Y 1993, 'A Study of Reflux Esophagitis in an Apparently Healthy Population', Digestive Endoscopy, vol. 5, no. 1, pp. 62-66. https://doi.org/10.1111/j.1443-1661.1993.tb00594.x

A Study of Reflux Esophagitis in an Apparently Healthy Population. / SEGAWA, Kose; ARISAWA, Tomiyasu; NIWA, Yasumasa; KATO, Tadashi; GOTO, Hidemi; YOSHIKANE, Hiroaki; SHIMODAIRA, Masaya; HAMAJIMA, Eiji; Omiya, Naoki; TSUKAMOTO, Yoshihisa.

In: Digestive Endoscopy, Vol. 5, No. 1, 01.01.1993, p. 62-66.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A Study of Reflux Esophagitis in an Apparently Healthy Population

AU - SEGAWA, Kose

AU - ARISAWA, Tomiyasu

AU - NIWA, Yasumasa

AU - KATO, Tadashi

AU - GOTO, Hidemi

AU - YOSHIKANE, Hiroaki

AU - SHIMODAIRA, Masaya

AU - HAMAJIMA, Eiji

AU - Omiya, Naoki

AU - TSUKAMOTO, Yoshihisa

PY - 1993/1/1

Y1 - 1993/1/1

N2 - Abstract: To study reflux esophagitis in the general population, we reviewed the records of 64,171 apparently healthy Japanese adults, 48, 706 men and 15,465 women, who had undergone automated multiphasic health testing and services (AMHTS), a comprehensive routine medical health check, that includes double‐contrast upper gastrointestinal roentgenograms. All subjects suspected of having gastrointestinal disease underwent a flexible fiberscopy as indicated. Reflux esophagitis was thus confirmed in 101 subjects. The prevalence of refla esophugitis was 0.20% among men and 0.04% among women (men vs. women p<0.001) and its frequency increased with age in both men (p<0.001) and women (p<0.05). Endoscopic classification according to the Savary‐Miller criteria yielded 48, 27, 23, and patients in Stage I, II, III and IV, respectively. In this series, 49/101 (48.5%) of the esophagitis patients had concurrent upper gastrointestinal abnormalities. The incidence of heavy smoking and excessive drinking of alcohol was significantly higher in the patients with reflux esophagitis (p<0.001 and p<0.005, respectively) as compared with the normal population.

AB - Abstract: To study reflux esophagitis in the general population, we reviewed the records of 64,171 apparently healthy Japanese adults, 48, 706 men and 15,465 women, who had undergone automated multiphasic health testing and services (AMHTS), a comprehensive routine medical health check, that includes double‐contrast upper gastrointestinal roentgenograms. All subjects suspected of having gastrointestinal disease underwent a flexible fiberscopy as indicated. Reflux esophagitis was thus confirmed in 101 subjects. The prevalence of refla esophugitis was 0.20% among men and 0.04% among women (men vs. women p<0.001) and its frequency increased with age in both men (p<0.001) and women (p<0.05). Endoscopic classification according to the Savary‐Miller criteria yielded 48, 27, 23, and patients in Stage I, II, III and IV, respectively. In this series, 49/101 (48.5%) of the esophagitis patients had concurrent upper gastrointestinal abnormalities. The incidence of heavy smoking and excessive drinking of alcohol was significantly higher in the patients with reflux esophagitis (p<0.001 and p<0.005, respectively) as compared with the normal population.

UR - http://www.scopus.com/inward/record.url?scp=0027415142&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027415142&partnerID=8YFLogxK

U2 - 10.1111/j.1443-1661.1993.tb00594.x

DO - 10.1111/j.1443-1661.1993.tb00594.x

M3 - Article

VL - 5

SP - 62

EP - 66

JO - Digestive Endoscopy

JF - Digestive Endoscopy

SN - 0915-5635

IS - 1

ER -

SEGAWA K, ARISAWA T, NIWA Y, KATO T, GOTO H, YOSHIKANE H et al. A Study of Reflux Esophagitis in an Apparently Healthy Population. Digestive Endoscopy. 1993 Jan 1;5(1):62-66. https://doi.org/10.1111/j.1443-1661.1993.tb00594.x