Evaluation of upper gastrointestinal system conventional radiographies in patients over 50 years of age
Abstract
Aim: The gastrointestinal (GI) changes related to aging are common. Some of these changes are physiological. However, pathological changes are also frequent at advanced age. The aim of this study was to evaluate upper GI conventional radiographic imagings in patients over 50 years of age.
Materials and Methods: Patients over 50 years of age who were referred to Radioscopy Division of Radiology Department between January 2011 and December 2012, and underwent esophagography, and double contrast upper gastrointestinal series for upper GI symptoms were evaluated retrospectively.
Results: Out of 2130 patients who underwent upper GI radiographic imaging, 1126 were over 50 years of age. The ratio of patients in 50-64, 65-79 age ranges, and patients ≥80 years of age were 62%, 32.6%, and 5.4%, respectively. There were; gastroesophageal reflux disease (GERD) (9.8%), tertiary contractions (9.2%), postoperative changes (8.6%), mucosal irregularity (8.3%), hiatus hernia (6.7%) achalasia (6%), diverticulum (5%), esophageal web (1.8%) and others which were not classified elsewhere (8.7%) among patients with abnormal radiological findings (55.2%). More than one pathology was detected in some patients.
Conclusion: The most common abnormal findings were GERD and tertiary contractions among patients over 50 years of age who underwent upper GI conventional radiographic imaging. As age increases, the prevalence of pathological findings also increases.
References
- 1. Bodner E. On the origins of ageism among older and younger adults. Int Psychogeriatr 2009; 21 (6): 1003-14.
- 2. Ersanlı K, Kalkan M. Psikolojik, sosyal ve bedensel açıdan yaşlılık. 1. Baskı. Ankara: Pegem Akademi Yayıncılık; 2008: 3.
- 3. Dumic I, Nordin T, Jecmenica M, Stojkovic Lalosevic M, Milosavljevic T, Milovanovic T. Gastrointestinal tract disorders in older age. Can J Gastroenterol Hepatol 2019; 6757524.doi:10.1155/2019/6757524
- 4. tuik.gov.tr [İnternet]. Yaş grubuna göre nüfus ve toplam nüfus içindeki oranı, 2007-2019 [01.03.2020 tarihinde ulaşılmıştır]. http://www.tuik.gov.tr/VeriBilgi.do?alt_id=1059# adresinden alınmıştır.
- 5. OECD.org [homepage on the Internet]. OECD data [Cited17 December 2019]. Available from: https://data.oecd.org/pop/elderly-population.htm
- 6. Bhutto A, Morley JE. The clinical significance of gastrointestinal changes with aging. Curr Opin Clin Nutr Metab Care 2008; 11 (5): 651–60.
- 7. Crane SJ, Talley NJ. Chronic gastrointestinal symptoms in the elderly. Clin Geriatr Med 2007; 23 (4): 721–34.
- 8. Pilotto A, Maggi S, Noale M, Franceschi M, Parisi G, Crepaldi G. Association of upper gastrointestinal symptoms with functional and clinical characteristics in elderly. World J Gastroenterol 2011; 17 (25): 3020-6.
- 9. Maekawa T, Kinoshita Y, Okada A, et al. Relationship between severity and symptoms of reflux oesophagitis in elderly patients in Japan. J Gastroenterol Hepatol 1998; 13 (9): 927-30. 208 Ege Tıp Dergisi / Ege Journal of Medicine
- 10. Wallace MB, Durkalski VL, Vaughan J, et al. Age and alarm symptoms do not predict endoscopic findings among patients with dyspepsia: a multicentre database study. Gut 2001; 49 (1): 29-34.
- 11. Pilotto A, Addante F, D'Onofrio G, Sancarlo D, Ferrucci L. The Comprehensive geriatric assessment and the multidimensional approach. A new look at the older patient with gastroenterological disorders. Best Pract Res Clin Gastroenterol 2009; 23 (6): 829-37).
- 12. Piatek-Guziewicz A, Przybylska-Feluś M, Dynowski W, Zwolińska-Wcisło M, Lickiewicz J, Mach T. Endoscopic and histopathological findings of the upper gastrointestinal tract in patients with functional and organic dyspepsia. Przegl Lek 2014; 71 (4): 204-9.
- 13. Friedenberg FK, Xanthopoulos M, Foster GD, Richter JE. The association between gastroesophageal reflux disease and obesity. Am J Gastroenterol 2008; 103 (8): 2111-22.
- 14. Richter JE, Rubenstein JH. Presentation and epidemiology of gastroesophageal reflux disease. Gastroenterology 2018; 154 (2): 267-76
50 yaş ve üzeri hastalarda üst gastrointestinal sistem konvansiyonel radyografik görüntülemelerinin değerlendirilmesi
Abstract
Amaç: Yaşlanma ile ortaya çıkan gastrointestinal sistem (GİS) değişiklikleri sıktır. Bu değişikliklerin bazıları fizyolojik olmakla birlikte, bazı değişiklikler patolojik olup ileri yaşta sık görülür. Bu çalışmada; 50 yaş ve üzeri hastalarda üst GİS konvansiyonel radyografik görüntülemelerin değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntem: Ocak 2011 – Aralık 2012 tarihleri arasında hastanemize başvuran hastalardan, üst GİS şikayetleri nedeniyle Radyoloji Bölümü Radyoskopi birimine yönlendirilerek özofagografi, çift kontrastlı mide-duodenum grafisi ve özofagus-mide-duodenum grafileri çekilmiş 50 yaş üzerindeki hastaların hastane kayıtları retrospektif olarak değerlendirilmiştir.
Bulgular: Üst GİS radyografileri çekilen 2130 hastadan 50 yaş ve üzeri olan 1126 hastanın; %62’si 50-64 yaş, %32,6’sı 65-79 yaş aralığında, %5,4’ü ise 80 yaş ve üzerinde bulunmuştur. Radyografilerinde normal dışı bulgu tespit edilen (%55,2) hastalarda; gastroözofageal reflü (GÖR) (%9,8), tersiyer kontraksiyon (%9,2), opere olgular (%8,6), kontur düzensizliği (%8,3), hiatus hernisi (%6,7), akalazya (%6), divertiküller (%5), özofageal veb (%1,8) ve bu gruplarda sınıflanamayan diğer patolojiler (%8,7) tespit edilmiştir. Bazı hastalarda birden fazla patolojik bulgu saptanmıştır.
Sonuç: Elli yaş ve üzeri hastalarda konvansiyonel radyografik görüntülemeler ile tespit edilen en sık normal dışı bulgular GÖR ve tersiyer kontraksiyon olarak tespit edilmiştir. Yaş aralığı yükseldikçe patolojik bulguların oranının arttığı görülmektedir.
References
- 1. Bodner E. On the origins of ageism among older and younger adults. Int Psychogeriatr 2009; 21 (6): 1003-14.
- 2. Ersanlı K, Kalkan M. Psikolojik, sosyal ve bedensel açıdan yaşlılık. 1. Baskı. Ankara: Pegem Akademi Yayıncılık; 2008: 3.
- 3. Dumic I, Nordin T, Jecmenica M, Stojkovic Lalosevic M, Milosavljevic T, Milovanovic T. Gastrointestinal tract disorders in older age. Can J Gastroenterol Hepatol 2019; 6757524.doi:10.1155/2019/6757524
- 4. tuik.gov.tr [İnternet]. Yaş grubuna göre nüfus ve toplam nüfus içindeki oranı, 2007-2019 [01.03.2020 tarihinde ulaşılmıştır]. http://www.tuik.gov.tr/VeriBilgi.do?alt_id=1059# adresinden alınmıştır.
- 5. OECD.org [homepage on the Internet]. OECD data [Cited17 December 2019]. Available from: https://data.oecd.org/pop/elderly-population.htm
- 6. Bhutto A, Morley JE. The clinical significance of gastrointestinal changes with aging. Curr Opin Clin Nutr Metab Care 2008; 11 (5): 651–60.
- 7. Crane SJ, Talley NJ. Chronic gastrointestinal symptoms in the elderly. Clin Geriatr Med 2007; 23 (4): 721–34.
- 8. Pilotto A, Maggi S, Noale M, Franceschi M, Parisi G, Crepaldi G. Association of upper gastrointestinal symptoms with functional and clinical characteristics in elderly. World J Gastroenterol 2011; 17 (25): 3020-6.
- 9. Maekawa T, Kinoshita Y, Okada A, et al. Relationship between severity and symptoms of reflux oesophagitis in elderly patients in Japan. J Gastroenterol Hepatol 1998; 13 (9): 927-30. 208 Ege Tıp Dergisi / Ege Journal of Medicine
- 10. Wallace MB, Durkalski VL, Vaughan J, et al. Age and alarm symptoms do not predict endoscopic findings among patients with dyspepsia: a multicentre database study. Gut 2001; 49 (1): 29-34.
- 11. Pilotto A, Addante F, D'Onofrio G, Sancarlo D, Ferrucci L. The Comprehensive geriatric assessment and the multidimensional approach. A new look at the older patient with gastroenterological disorders. Best Pract Res Clin Gastroenterol 2009; 23 (6): 829-37).
- 12. Piatek-Guziewicz A, Przybylska-Feluś M, Dynowski W, Zwolińska-Wcisło M, Lickiewicz J, Mach T. Endoscopic and histopathological findings of the upper gastrointestinal tract in patients with functional and organic dyspepsia. Przegl Lek 2014; 71 (4): 204-9.
- 13. Friedenberg FK, Xanthopoulos M, Foster GD, Richter JE. The association between gastroesophageal reflux disease and obesity. Am J Gastroenterol 2008; 103 (8): 2111-22.
- 14. Richter JE, Rubenstein JH. Presentation and epidemiology of gastroesophageal reflux disease. Gastroenterology 2018; 154 (2): 267-76
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | September 30, 2020 |
| Submission Date | December 20, 2019 |
| Published in Issue | Year 2020 |