eISSN: 1897-4317
ISSN: 1895-5770
Gastroenterology Review/Przegląd Gastroenterologiczny
Bieżący numer Archiwum Artykuły zaakceptowane O czasopiśmie Bazy indeksacyjne Prenumerata Kontakt Zasady publikacji prac
NOWOŚĆ
Portal dla gastroenterologów!
www.egastroenterologia.pl
SCImago Journal & Country Rank
3/2017
vol. 12
 
Poleć ten artykuł:
Udostępnij:
więcej
 
 
streszczenie artykułu:
Artykuł oryginalny

The impact of age and sex on the occurrence of pathology in the wall of the upper gastrointestinal tract

Przemysław Dyrla, Jerzy Gil, Stanisław Niemczyk, Marek Saracyn, Krzysztof Kosik, Sebastian Czarkowski, Arkadiusz Lubas

Data publikacji online: 2017/09/30
Pełna treść artykułu
Pobierz cytowanie
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 


Introduction: The growing incidence of gastrointestinal diseases forces to improve both imaging techniques and the identification of the population with a greater risk of a disease. Identification of lesions located inside the wall of intestinal tract or in close proximity often was not possible using endoscopy or computed tomography.

Aim: The study was a retrospective evaluation of the occurrence of submucosal lesions (SML) and thickened wall (TW) of the upper gastrointestinal tract (UGIT) depending on age and sex.

Material and methods: Out of 20012 gastroscopies during the 4-year follow-up study, we enrolled 199 patients with pathological lesions in the wall of the UGIT. All patients underwent computed tomography and endoscopic ultrasound (EUS).

Results: We analysed a total of 122 (78 males, 44 females, age: 64.0 ±12.9 years) out of 187 patients. 23.91% of SML in the oesophagus, 56.52% in the stomach, and 19.57% in the duodenum. A higher number of SMLs was found in men than in women (57.14% vs. 40.45%, p = 0.023), and the difference was greater over 50 years of age (85.71% vs. 40.00%, p = 0.031). We found less malignant SMLs compared to benign (35.87% vs. 64.13%, p = 0.026), especially in women (22.86% vs. 47.46%, p = 0.006). 26.67% of TW were in the oesophagus, 66.67% in the stomach, and 6.67% in the duodenum. There was a tendency towards increased incidence of TW over 50 years of age (8.58% vs. 18.30%, p = 0.074), which concerned men in particular (24.10% vs. 11.43%, p = 0.043). Until 65 years of age, these differences were significant for the oesophagus (27.27% vs. 0.00%, p = 0.044) and the stomach (25.93% vs. 4.00%, p = 0.029). As many as 70% of TW pathologies were malignant.

Conclusions: Submucosal lesions and TW of the upper gastrointestinal tract account for 0.61% of performed gastroscopies. They occur in men and usually over 50 years of age.
referencje:
Dietrich CF. Endoscopic Ultrasound. 2nd ed. Thieme. Stuttgart 2011; 224-77.
Dyrla P, Gil J, Wojtuń S, et al. Pancreatic pseudocyst in the mediastinum. Pol Arch Med Wewn 2014; 124: 270-1.
Lewosiuk A, Białek A, Smereczyński A, et al. Submucosal tumors of upper gastrointestinal tract. Prz Gastroenterol 2009; 4: 126-36.
Xu GQ, Qian JJ, Chen MH, et al. Endoscopic ultrasonography for the diagnosis and selecting treatment of esophageal leiomyoma. J Gastroenterol Hepatol 2011; 14: 1440-6.
Tae HJ, Lee HL, Lee KN, et al. Deep biopsy via endoscopic submucosal dissection in upper gastrointestinal subepithelial tumors: a prospective study. Endoscopy 2014; 46: 845-50.
Deesomsak M, Aswakul P, Junyangdikul P, et al. Rare adult gastric duplication cyst mimicking a gastrointestinal stromal tumor. World J Gastroenterol 2013; 19: 8445-8.
Wiechowska-Kozłowska A, Białek A, Raszeja-Wyszomirska J, et al. Ligation of oesophageal varices may increase formation of “deep” gastric collaterals. Hepatogastroenterology 2010; 57: 262-7.
Lu W, Xu MD, Zhou PH, et al. Endoscopic submucosal dissection of esophageal granular cell tumor. World J Surg Oncol 2014; 12: 221.
Attwell A, Sams S, Fukami N. Diagnosis of ectopic pancreas by endoscopic ultrasound with fine-needle aspiration. World J Gastroenterol 2015; 21: 2367-73.
Enestvedt BK, Chandrasekhara V, Ginsberg GG. Endoscopic ultrasonographic assessment of gastric polyps and endoscopic mucosal resection. Curr Gastroenterol Rep 2012; 14: 497-503.
Chen TH, Hsu CM, Chu YY, et al. Association of endoscopic ultrasonographic parameters and gastrointestinal stromal tumors (GISTs): can endoscopic ultrasonography be used to screen gastric GISTs for potential malignancy? Scand J Gastroenterol 2016; 51: 374-7.
Polkowski M. Endoscopic ultrasound and endoscopic ultrasound-guided fine-needle biopsy for the diagnosis of malignant submucosal tumors. Endoscopy 2005; 37: 635-45.
Findlay JM, Bradley KM, Maile EJ, et al. Pragmatic staging of oesophageal cancer using decision theory involving selective endoscopic ultrasonography, PET and laparoscopy. Br J Surg 2015; 102: 1488-99.
Akce M, Bihlmeyer S, Catanzaro A. Multiple gastric metastases from ovarian carcinoma diagnosed by endoscopic ultrasound with fine needle aspiration. Case Rep Gastrointest Med 2012; 2012: 610527.
Dyrla P, Gil J, Florek M, et al. Elastography in pancreatic solid tumours diagnoses. Prz Gastroenterol 2015; 10: 41-6.
Dąbrowski A. Gastroenterology. Medical Tribune, Warsaw 2011; 124-32.
Hedenbro JL, Ekelund M, Wetterberg P. Endoscopic diagnosis of submucosal gastric lesions. The results after routine endoscopy. Surg Endosc 1991; 5: 20-3.
Lee JS, Son HJ, Kim YH. Clinical course of subepithelial masses incidentally found by endoscopic examinations. Abstracts of Digestive Disease Week and ASGE (American Society for Gastrointestinal Endoscopy) Annual Postgraduate Course, May 2007, Washington, DC, USA. Gastrointest Endosc 2007; 65: AB167.
Yoo SS, Lee WH, Ha J, et al. The prevalence of esophageal disorders in the subject examined for health screening. Korean J Gastroenterol 2007; 50: 306-12.
Van Stolk RU. Subepithelial lesions. Gastrointestinal endosonography. Saunders, Philadelphia 1999; 153-65.
Polkowski M, Butruk E. Submucosal lesion. Gastrointest Endosc Clin N Am 2005; 15: 33-54.
Hwang JH, Kimmey MB. The incidental upper gastrointestinal subepithelial mass. Gastroenterology 2004; 126: 301-7.
Rösch T, Lorenz R, Dancygier H, et al. Endosonographic diagnosis of submucosal upper gastrointestinal tract tumors. Scand J Gastroenterol 1992; 27: 1-8.
Rösch T, Kapfer B, Will U, et al. Accuracy of endoscopic ultrasonography in upper gastrointestinal submucosal lesions: a prospective multicenter study. Scand J Gastroenterol 2002; 37: 856-62.
Ponsaing LG, Kiss K, Loft A, et al. Diagnostic procedures for submucosal tumors in the gastrointestinal tract. World J Gastroenterol 2007; 13: 3301-10.
Hawes RH, Fockens P, Varadarajulu S. Endosonography. 2nd ed. Elsevier Saunders, Philadelphia 2011; 82-114.
Franco MC, Schulz RT, Maluf-Filho F. Opinion: How to manage subepithelial lesions of the upper gastrointestinal tract? World J Gastrointest Endosc 2015; 7: 1262-7.
© 2018 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe