Trends in incidence of esophageal and gastric cardia adenocarcinomas in Chongqing city over the past 30 years
10.3969/j.issn.1671-8348.2014.29.008
- VernacularTitle:重庆地区食管腺癌和贲门腺癌的胃镜检出率变化30年回顾分析
- Author:
Shunzi SHAO
;
Jingjing ZHAO
;
Xiaona YU
;
Haoxiang ZHANG
;
Caifei SHEN
;
Pu WANG
- Publication Type:Journal Article
- Keywords:
esophageal adenocarcinoma;
gastric cardia adenocarcinoma;
endoscopy,digestive system;
proportions
- From:
Chongqing Medicine
2014;(29):3870-3872
- CountryChina
- Language:Chinese
-
Abstract:
Objective To describe the time trend of esophageal and gastric cardia adenocarcinomas in Chongqing of China in the past 30 years .Methods The medical records of all patients who underwent gastroscopy from Janaury 1983 to December 2012 at the Southwest hospital were reviewed .The rate of endoscopic detection and proportion of adenocarcinoma in all upper gastrointestinal tumors (esophageal adenocarcinoma ,esophageal squamous cell carcinoma ,gastric cardia adenocarcinoma and gastric non-cardiac ad-enocarcinoma) were compiled and serial comparisons were made .Results 435 829 patients who underwent gastroscopy were re-viewed .Totally ,there were 352 patients with esophageal adenocarcinomas(0 .08% ) ,10 301 with esophageal squamous cell carcino-mas(2 .40% ) ,3 058 with gastric cardia adenocarcinomas(0 .70% ) and 5 543 with gastric non-cardiac adenocarcinomas(1 .30% ) .O-ver the 30-year period ,the rate of endoscopic detection of esophageal adenocarcinomas did not show a statistically significant .How-ever ,the proportion of esophageal adenocarcinomas increased from 1 .90% to 3 .20% ,suggesting an increased proportions .The rate of endoscopic detection of gastric cardia adenocarcinomas increased from 0 .70% to 0 .81% and the proportions of gastric cardia ade-nocarcinomas increased from 25 .30% to 38 .30% .Conclusion Over the 30-year period ,it seems that the incidence of esophageal adenocarcinoma had increased .An increasing trend of gastric cardia adenocarcinoma is also observed in this study ,especially in male patients .
