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The relationship between existence of typical symptoms and psychological factors in patients with erosive esophagitis.

Lee SP, Lee KN, Lee OY, Lee HL, Choi HS, Yoon BC, Jun DW, Sohn W, Cho SC - J Neurogastroenterol Motil (2012)

Bottom Line: The purpose of this study was to investigate the clinical characteristics of esophagitis patients with or without symptoms, and their association with psychological factors.There was no difference between the subjects' general characteristics (gender, age, body mass index, smoking and alcohol intake) according to the existence of typical symptoms in these patients with erosive esophagitis.Psychological symptoms and other gastrointestinal symptoms should be considered in the patients with erosive esophagitis.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.

ABSTRACT

Background/aims: In Asian countries including Korea, the prevalence of gastroesophageal reflux disease (GERD) is on the rise and its clinical impact has been emphasized. The purpose of this study was to investigate the clinical characteristics of esophagitis patients with or without symptoms, and their association with psychological factors.

Methods: Subjects diagnosed as erosive esophagitis of Los Angeles-A or more in screening by upper gastrointestinal endoscopy were enrolled. Questionnaires regarding GERD symptoms and Symptom Checklist-90-Revision were used to identify the presence of psychological symptoms.

Results: There was no difference between the subjects' general characteristics (gender, age, body mass index, smoking and alcohol intake) according to the existence of typical symptoms in these patients with erosive esophagitis. Patients with typical GERD symptoms were more likely to have atypical symptoms, dyspepsia and higher scores on psychological symptoms (somatization, obsessive-compulsiveness and phobic anxiety) than those without.

Conclusions: Psychological symptoms and other gastrointestinal symptoms should be considered in the patients with erosive esophagitis.

No MeSH data available.


Related in: MedlinePlus

Los Angeles (LA) classification in the symptomatic erosive esophagitis group, 13 (44.8%) were LA-A, 12 (41.4%) LA-B, 3 (10.3%) LA-C and 1 (3.4%) LA-D. In the asymptomatic erosive esophagitis group, 19 (73.1%) were LA-A, 7 (26.9%) LA-B, and none LA-C or LA-D.
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Figure 1: Los Angeles (LA) classification in the symptomatic erosive esophagitis group, 13 (44.8%) were LA-A, 12 (41.4%) LA-B, 3 (10.3%) LA-C and 1 (3.4%) LA-D. In the asymptomatic erosive esophagitis group, 19 (73.1%) were LA-A, 7 (26.9%) LA-B, and none LA-C or LA-D.

Mentions: Patients with erosive esophagitis LA-A or more were enrolled in this study. In the SEE group, 13 (44.8%) were LA-A, 12 (41.4%) LA-B, 3 (10.3%) LA-C and 1 (3.4%) LA-D. In the AEE group, 19 (73.1%) were LA-A, 7 (26.9%) LA-B, and none LA-C or LA-D (Fig. 1). The SEE group had more severe levels of esophagitis (LA-B or more) than the AEE group but it was not statistically significant (P = 0.055). Fourteen patients (48.3%) had previous history of GERD in the SEE group and 6 (23.1%) in the AEE group and this difference did not attain statistical significance, either (P = 0.052).


The relationship between existence of typical symptoms and psychological factors in patients with erosive esophagitis.

Lee SP, Lee KN, Lee OY, Lee HL, Choi HS, Yoon BC, Jun DW, Sohn W, Cho SC - J Neurogastroenterol Motil (2012)

Los Angeles (LA) classification in the symptomatic erosive esophagitis group, 13 (44.8%) were LA-A, 12 (41.4%) LA-B, 3 (10.3%) LA-C and 1 (3.4%) LA-D. In the asymptomatic erosive esophagitis group, 19 (73.1%) were LA-A, 7 (26.9%) LA-B, and none LA-C or LA-D.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3400816&req=5

Figure 1: Los Angeles (LA) classification in the symptomatic erosive esophagitis group, 13 (44.8%) were LA-A, 12 (41.4%) LA-B, 3 (10.3%) LA-C and 1 (3.4%) LA-D. In the asymptomatic erosive esophagitis group, 19 (73.1%) were LA-A, 7 (26.9%) LA-B, and none LA-C or LA-D.
Mentions: Patients with erosive esophagitis LA-A or more were enrolled in this study. In the SEE group, 13 (44.8%) were LA-A, 12 (41.4%) LA-B, 3 (10.3%) LA-C and 1 (3.4%) LA-D. In the AEE group, 19 (73.1%) were LA-A, 7 (26.9%) LA-B, and none LA-C or LA-D (Fig. 1). The SEE group had more severe levels of esophagitis (LA-B or more) than the AEE group but it was not statistically significant (P = 0.055). Fourteen patients (48.3%) had previous history of GERD in the SEE group and 6 (23.1%) in the AEE group and this difference did not attain statistical significance, either (P = 0.052).

Bottom Line: The purpose of this study was to investigate the clinical characteristics of esophagitis patients with or without symptoms, and their association with psychological factors.There was no difference between the subjects' general characteristics (gender, age, body mass index, smoking and alcohol intake) according to the existence of typical symptoms in these patients with erosive esophagitis.Psychological symptoms and other gastrointestinal symptoms should be considered in the patients with erosive esophagitis.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.

ABSTRACT

Background/aims: In Asian countries including Korea, the prevalence of gastroesophageal reflux disease (GERD) is on the rise and its clinical impact has been emphasized. The purpose of this study was to investigate the clinical characteristics of esophagitis patients with or without symptoms, and their association with psychological factors.

Methods: Subjects diagnosed as erosive esophagitis of Los Angeles-A or more in screening by upper gastrointestinal endoscopy were enrolled. Questionnaires regarding GERD symptoms and Symptom Checklist-90-Revision were used to identify the presence of psychological symptoms.

Results: There was no difference between the subjects' general characteristics (gender, age, body mass index, smoking and alcohol intake) according to the existence of typical symptoms in these patients with erosive esophagitis. Patients with typical GERD symptoms were more likely to have atypical symptoms, dyspepsia and higher scores on psychological symptoms (somatization, obsessive-compulsiveness and phobic anxiety) than those without.

Conclusions: Psychological symptoms and other gastrointestinal symptoms should be considered in the patients with erosive esophagitis.

No MeSH data available.


Related in: MedlinePlus