Study of the characteristics of gastroesophageal reflux disease (NERD, in particular) as discovered in a mass survey.

  • KOBAYASHI Takashi
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • YOSHINO Junji
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • WAKABAYASHI Takao
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • INUI Kazuo
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • OKUSHIMA Kazumu
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • MIYOSHI Hironao
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • NAKAMURA Yuta
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • KAMIYA Naoki
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • NAITOH Takehito
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • KIMURA Yukio
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • NOMURA Yukinobu
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • HATTORI Nobuyuki
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • CHIKAISHI Toshihiko
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • HATTORI Masashi
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • KAMATA Michiko
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • KOSAKA Toshihito
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • NAKAI Yoshitaka
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • SHIOTA Kunihito
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • MISAWA Daisuke
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • TOMOMATSU Yuichiro
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • FUJIMOTO Masao
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • SUGIYAMA Kazuhisa
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • WATANABE Shinya
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine
  • TAKASHIMA Toshin
    Department of Internal Medicine Second Teaching Hospital Fujita Health University School of Medicine

Bibliographic Information

Other Title
  • 集団検診において発見された胃食道逆流症 (特に, NERD) に関する検討
  • シュウダン ケンシン ニ オイテ ハッケン サレタ イ ショクドウ ギャクリュウショウ トクニ NERD ニ カンスル ケントウ

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Abstract

We studied the characteristics of gastroesophageal reflux disease (GERD) as discovered by a mass survey which lasted from November 2004 to September 2005. The subjects were 691 persons, each of whom underwent a medical examination by upper-gastrointestinal endoscopy at our medical examination center. There were 526 male and 165 female subjects, and their average age was 52.6 years. The incidence of reflux esophagitis and NERD was 12.2% and 10.4%, respectively.<BR>Using multivariable analysis, we investigated the factors which affect the onset of GERD. Young age (odds ratio: 0.40, 95% C. I.: 0.17-0.81, p<.05), female gender (odds ratio: 0.61, 95% C. I.: 0. 17-0.84, p<.05) and smoking (odds ratio: 1.95, 95% C. I.: 1.15-4.99, p<.05) were the risk factors of NERD. On the other hand, the risk factors of reflux esophagitis were esophageal hiatal hernia (odds ratio: 12.38, 95% C. I.: 6.41-21.0, p<.01), slight atrophy of the gastric mucosa (odds ratio: 0.14, 95% C. I.: 0.04-0.29, p<.01), male gender (odds ratio: 4.85, 95% C. I.: 1.17-7.97, p<.02) and obesity (odds ratio: 2.45, 95% C. I.: 1.01-3.44, p<.05). Because obesity and smoking were associated with the onset of reflux esophagitis and NERD, respectively, we concluded that GERD is one of the lifestyle-related diseases. It was suggested that the modification or eradication of certain habits might lead to the prevention of GERD.

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