Analysis of gastroscopy results among healthy people undergoing a medical checkup: a retrospective study

Haosu Huang,Yanting Rong,Lu Yan,Xiaoxiao Chen,Meng Wang,Yanghua Yu,Zhenpu Long,Zimeng Guo,Junjie Ding,Jie Peng,Hanyue Wang

doi:10.1186/s12876-020-01557-9

Haosu Huang, Yanting Rong + Show 9 more

Open Access

https://doi.org/10.1186/s12876-020-01557-9

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Abstract

BackgroundThe association of upper gastrointestinal endoscopic findings with sex, age, and Helicobacter pylori infection in asymptomatic healthy people is unclear. The aim of this study was to retrospectively determine the associations of upper gastrointestinal endoscopic findings in asymptomatic healthy people with sex, age, and H. pylori infection.MethodsA retrospective study was conducted on 2923 patients from a health examination center in Xiangya Hospital between September 2015 and September 2019. Data on sex, age, H. pylori infection, and gastroscopy results were collected.ResultsAmong 2923 asymptomatic patients who underwent gastroscopy, 2911 (99.59%) had abnormal results. The top three results were chronic gastritis (95.11%), peptic ulcer (17.45%), and duodenitis (9.17%). Inflammation of the gastric mucosa in chronic gastritis was more severe in the H. pylori-positive group. The incidence of peptic ulcer decreased with increasing age and was higher in men, patients aged < 30 years, and H. pylori-positive patients. The incidence of polyps was higher in women (9.54%) than in men (5.94%), and the incidence in individuals aged ≥60 years (11.63%) was higher than that in those aged < 60 years (6.83%). The pathological results of gastric polyps depended on the location of the lesion.ConclusionThe incidence of abnormal upper gastrointestinal endoscopic results is high in asymptomatic healthy people undergoing a check-up and is associated with sex, age, and H. pylori infection. Gastroscopy should be considered part of a routine health check.

Highlights

The association of upper gastrointestinal endoscopic findings with sex, age, and Helicobacter pylori infection in asymptomatic healthy people is unclear
With the ever growing economic development of society, gastroscopy is becoming increasingly common as a physical examination item; screening for upper gastrointestinal lesions have become a regular part of medical examinations
Distribution of lesions detected in the upper digestive tract Among 2923 patients who underwent gastroscopy, the five most common abnormal endoscopic results were as follows (Table 1): Chronic gastritis (95.11%), peptic ulcers (17.45%), duodenitis (9.17%), esophagitis (8.96%), and polyps (7.42%)

Summary

Introduction

The association of upper gastrointestinal endoscopic findings with sex, age, and Helicobacter pylori infection in asymptomatic healthy people is unclear. The aim of this study was to retrospectively determine the associations of upper gastrointestinal endoscopic findings in asymptomatic healthy people with sex, age, and H. pylori infection. As the pace of modern life continues to accelerate, the pressures from work, family, and society are constantly increasing People find it difficult to maintain good eating patterns, and the phenomenon of overeating is common. With the ever growing economic development of society, gastroscopy is becoming increasingly common as a physical examination item; screening for upper gastrointestinal lesions have become a regular part of medical examinations. In the context of routine physical examinations, it is possible to screen for abnormal upper gastrointestinal endoscopic results and to achieve early detection, prevention, and diagnosis

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