Differences in Clinical Characteristics between Patients with Non-Erosive Reflux Disease and Erosive Esophagitis in Korea.
10.3346/jkms.2010.25.9.1318
- Author:
Na Rae HA
1
;
Hang Lak LEE
;
Oh Young LEE
;
Byung Chul YOON
;
Ho Soon CHOI
;
Joon Soo HAHM
;
You Hern AHN
;
Dong Hee KOH
Author Information
1. Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. alwayshang@hanyang.ac.kr
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Erosive Esophagitis;
Non-erosive Reflux Disease
- MeSH:
Adult;
Alcohol Drinking;
Body Mass Index;
Esophagitis, Peptic/complications/*diagnosis;
Female;
Gastroesophageal Reflux/complications/*diagnosis;
Gastroscopy;
Hernia, Hiatal/complications;
Humans;
Male;
Middle Aged;
Obesity/complications;
Republic of Korea;
Risk Factors;
Sex Factors;
Smoking/adverse effects;
Triglycerides/blood;
Waist-Hip Ratio
- From:Journal of Korean Medical Science
2010;25(9):1318-1322
- CountryRepublic of Korea
- Language:English
-
Abstract:
Gastroesophageal reflux disease (GERD) is caused by abnormal reflux of gastric contents into the esophagus. GERD can be divided into two groups, erosive esophagitis and non-erosive reflux disease (NERD). The aim of this study was to compare the clinical characteristics of patients with erosive esophagitis to those with NERD. All participating patients underwent an upper endoscopy during a voluntary health check-up. The NERD group consisted of 500 subjects with classic GERD symptoms in the absence of esophageal mucosal injury during upper endoscopy. The erosive esophagitis group consisted of 292 subjects with superficial esophageal erosions with or without typical symptoms of GERD. Among GERD patients, male gender, high body mass index, high obesity degree, high waist-to-hip ratio, high triglycerides, alcohol intake, smoking and the presence of a hiatal hernia were positively related to the development of erosive esophagitis compared to NERD. In multivariated analysis, male gender, waist-to-hip ratio and the presence of a hiatal hernia were the significant risk factors of erosive esophagitis. We suggest that erosive esophagitis was more closely related to abdominal obesity.
