The Related Factors And The Composition Of Outpatients With Chronic Symptoms Of Upper Gastrointestinal Tract Diseases

Objective To study the composition of clinic common diseases of uppergastrointestinal tract and disease characteristics,and its related risk factors.Methods Collected outpatients from July,2012to October,2012,who were diagnosedupper gastrointestinal disease for the first time in Department of Digestion in FuzhouGenernal Hospital.Their clinical profiles were analysed,sush as:general information,symptoms, living habits,eating habits,and auxiliary examination results.Results There were divided into7groups in673cases:GERD group(232，34.47%),the FD group(203，30.16%), chronic gastritis group(135，20.06%), peptic ulcergroup(56，8.32%), liver-gallbladder-pancreatic disease group(21，3.12%), benigntumor group(20，2.97%), and malignant tumor group(6，0.89%).There were nostatistical differences between groups in gender (P=0.012); The patient’s at the ageof40to49years in each groups were relatively concentrated.The group of youngestmean age was FD group,and the oldest was the patients of benign tumorgroup.Compared with the mean age of GERD group or chronic gastritis group, themean age in FD group was significantly younger.The mean BMI of FD group was lessthan that of GERD group,chronic gastritis group,benign tumor group andliver-gallbladder-pancreatic diseases.The group of the biggest BMI wasliver-gallbladder-pancreatic disease group.The biggest was different from those ofGERD group, FD group and the malignant tumor group.52.63%of patients whoseBMI more than28.0were with GERD. The ratio of patients who lived in the city wasless than that of patients who lived in the non-city with liver-gallbladder-pancreaticdisease (P <0.05).Incidence of Acid reflux, heartburn in GERD group was obviouslyhigher than those in the other disease group (P <0.05), while the incidence ofepigastric pain was obviously lower than that of the other disease groups (P < 0.05).There were no statistical differences (P=0.089,0.10) among the incitences ofabdominal distention, belching in upper gastrointestinal tract disease group. Fatty dietof liver-gallbladder-pancreatic disease group is more than those in GERD group, FDgroup and chronic gastritis group（P＜0.05）. There were no statistical differences inproportion of spicy diet between each group (P=0.153).There were no significantdifferences in proportion of tea between each group(P=0.755). Alcohol drinking ratioof patients in PU group is significantly higher than that in GERD group (P <0.001).Smoking rate of the patients in FD group was less than that in chronic gastritis groupand in PU group (P=0.016,0.0021).While there was no differences in other groups.The incidences of acid reflux, heartburn and retrosternal jams in esophageal diseasewere more than those in gastric diseases group (P <0.01).The incidence of abdominalpain in esophageal disease is less than that in gastric diseases group(P <0.01).Alcoholwas more likely to cause gastric diseases in stead of esophageal diseases.Conclusion The proportion of gastroesophageal reflux disease and functionaldyspepsia is high in outpatients with upper gastrointestinal symptoms. Functionaldyspepsia patients accounte for most of the young patients. Patients withliver-gallbladder-pancreatic diseases are mostly from non-city area and associatedwith fatty diet. Alcohol is more likely to cause stomach disease in stead of esophagus.