Erosive esophagitis in the Philippines: A comparison between two time periods

Sollano, José D.; Wong, Stephen N.; Andal-Gamutan, Teresita; Chan, Melchor M.; Carpio, Ramon E.; Tady, Celina S; Ismael, Albert E.; Judan-Ruiz, Estelita A; Ang, Victorio N; Go, Johnny T.; Lim, Victoriano Y.; Perez, Jesus Y; Alvarez, Sol Z.

doi:10.1111/j.1440-1746.2006.04355.x

Cited by 28 publications

(31 citation statements)

References 35 publications

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“…In the western countries, hospitalization and mortality rates for peptic ulcer and gastric cancer had dropped substantially from 1970 and 1995, while hospitalisation rates for GERD and esophageal adenocarcinoma rose significantly [15]. In Asia, similar rising trend of symptomatic GERD, endoscopic esophagitis and even esophageal adenocarcinoma has been observed in many retrospective endoscopy-based studies, and these changes in prevalence were coincident with a decline in prevalence of H. pylori infection, peptic ulcer and gastric cancers [16][17][18][19][20].…”

Section: Opposing Secular Trends Of H Pylori Related Diseases and Gerdmentioning

confidence: 81%

Does Helicobacter pylori infection protect against esophageal diseases in Asia?

2011

Indian J Gastroenterol

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The speculations on the protective role of Helicobacter pylori against gastroesophageal reflux disease (GERD) originated from epidemiological observations. These studies have shown that the rising trend of GERD is coincident with declining prevalence of H. pylori and peptic ulcer disease in Asia. Furthermore, most case-control and population-based studies suggest a negative association between H. pylori infection and GERD. It is generally believed that the preponderance of cagA+ and vacA+ virulent strains and proinflammatory interleukin-1 beta polymorphism increase the risk of hypochlohydria and protects against the development of GERD in Asian population. Recovery of gastric acid secretion and emergence of reflux esophagitis has been reported after H. pylori eradication in patients with corpus gastritis and atrophic gastritis. Recent studies have also reported that H. pylori eradication leads to recovery of ghrelin secreting cells in the gastric corpus and a rise in plasma ghrelin levels, which may contribute to obesity through its appetite-stimulating action and predispose to GERD. The prevalence of H. pylori infection is generally lower in younger Asians who enjoy improved socioeconomic status and sanitation compared with their older counterparts. The Asian population is probably facing a rising generation with high gastric acid and ghrelin secretion rates. These physiological changes may contribute to increased dietary calorie intake, obesity and increased prevalence of GERD.

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Section: Opposing Secular Trends Of H Pylori Related Diseases and Gerdmentioning

confidence: 81%

Does Helicobacter pylori infection protect against esophageal diseases in Asia?

2011

Indian J Gastroenterol

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“…19,20 The prevalence rates reported form Turkey are markedly lower than those determined in western countries. In their prospective study, Odemiş et al 21 have reported a BE prevalence of 1.2% in Turkish patients undergoing endoscopy for any reason.…”

Section: Discussionmentioning

confidence: 96%

The Prevalence of Barrett Esophagus Diagnosed in the Second Endoscopy

et al. 2016

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At present, we do not know the exact prevalence of Barrett esophagus (BE) developing later in patients without BE in their first endoscopic screening. The purpose of this study was to determine the prevalence of BE on the second endoscopic examination of patients who had no BE in their first endoscopic examination.The data of the patients older than 18 years who had undergone upper gastrointestinal system endoscopy more than once at the endoscopy unit of our clinic during the last 6 years were retrospectively analyzed.During the last 6 years, 44,936 patients had undergone at least one endoscopic examination. Among these patients, 2701 patients who had more than one endoscopic screening were included in the study. Of the patients, 1276 (47.3%) were females and 1425 (52.7%) were males, with an average age of 54.9 (18–94) years. BE was diagnosed in 18 (0.66%) of the patients who had no BE in the initial endoscopic examination. The patients with BE had reflux symptoms in their medical history and in both endoscopies, they revealed a higher prevalence of lower esophageal sphincter laxity, hiatal hernia, and reflux esophagitis when compared to patients without BE (P < 0.001).Our study showed that in patients receiving no diagnosis of BE on their first endoscopic examination performed for any reason, the prevalence of BE on their second endoscopy within 6 years was very low (0.66%).

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“…Erosive esophagitis was observed in 36% of them, the majority of which was of grade LA-A or LA-B. Longitudinal studies conducted in Asia show an increase in the prevalence of GERD symptoms and reflux esophagitis (9-11). The ratio of erosive reflux disease (ERD) to nonerosive reflux disease (NERD) in Asia is believed to be lower than in the West (12).…”

Section: Discussionmentioning

confidence: 99%

Practice Pattern of Gastroenterologists for the Management of GERD Under the Minimal Influence of the Insurance Reimbursement Guideline: A Multicenter Prospective Observational Study

et al. 2011

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The objective of the study was to document practice pattern of gastroenterologists for the management of gastroesophageal reflux disease (GERD) under the minimal influence of the insurance reimbursement guideline. Data on management for 1,197 consecutive patients with typical GERD symptoms were prospectively collected during 16 weeks. In order to minimize the influence of reimbursement guideline on the use of proton pump inhibitors (PPIs), rabeprazole was used for the PPI treatment. A total of 861 patients (72%) underwent endoscopy before the start of treatment. PPIs were most commonly prescribed (87%). At the start of treatment, rabeprazole 20 mg daily was prescribed to 94% of the patients who received PPI treatment and 10 mg daily to the remaining 6%. At the third visits, rabeprazole 20 mg daily was prescribed to 70% of those who were followed and 10 mg daily for the remaining 30%. Continuous PPI treatment during the 16-week period was performed in 63% of the study patients. In conclusion, a full-dose PPI is preferred for the initial and maintenance treatment of GERD under the minimal influence of the insurance reimbursement guideline, which may reflect a high proportion of GERD patients requiring a long-term treatment of a full-dose PPI.

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Erosive esophagitis in the Philippines: A comparison between two time periods

Abstract: The prevalence of EE was higher in 2000-2003 than in 1994-1997, although the complications associated with the disease diminished. The prevalence of concomitant Barrett's esophagus remained stable.

Cited by 28 publications

References 35 publications

Does Helicobacter pylori infection protect against esophageal diseases in Asia?

Does Helicobacter pylori infection protect against esophageal diseases in Asia?

The Prevalence of Barrett Esophagus Diagnosed in the Second Endoscopy

Practice Pattern of Gastroenterologists for the Management of GERD Under the Minimal Influence of the Insurance Reimbursement Guideline: A Multicenter Prospective Observational Study

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