Du J, Liu J, Zhang H, Yu CH, Li YM. Risk factors for gastroesophageal reflux disease, reflux esophagitis and non-erosive reflux disease among Chinese patients undergoing upper gastrointestinal endoscopic examination. World J Gastroenterol 2007; 13(45): 6009-6015 [DOI: 10.3748/wjg.v13.i45.6009]
Corresponding Author of This Article
You-Ming Li, Department of Gastro-enterology, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, Zhejiang Province, China. zlym@zju.edu.cn
Article-Type of This Article
Clinical Research
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Dec 7, 2007; 13(45): 6009-6015 Published online Dec 7, 2007. doi: 10.3748/wjg.v13.i45.6009
Table 1 Grading of reflux esophagitis in 2278 patients
Grade
Total number
%
None
1767
79.20
A
333
14.93
B
102
4.57
C
20
0.90
D
9
0.40
Total
2231
100.00
Table 2 Complications of reflux esophagitis
Total number
%
Barrett’s esophagus
No 1190
98.76
Yes 15
1.24
Esophageal stenosis
No 1191
98.76
Yes 15
1.24
Esophagorrhagia
No 1186
98.18
Yes 22
1.82
Table 3 Comparison between upper gastrointestinal endoscopy and RDQ (χ2 test)
RDQ
Endoscopy
P value
Negative
Positive
Negative
1530
173
0.002
Positive
237
291
Table 4 Comparison between upper gastrointestinal endoscopy and RDQ (Wilcoxon rank-sum test)
RDQ
Endoscopy
Total
U value
P value
Negative
A
B
C
D
Negative
1530
131
34
5
3
1703
Positive
237
202
68
15
6
528
3.60
0.000
Total
1767
333
102
20
9
2231
Table 5 Association between variables determined using univariate analysis: GERD (n = 701) vs non-GERD (n = 1530) patients
Variables
GERDn (%)
P value
OR
Univariate (95% CI)
Low
High
Age (yr)
> 65
106/239 (44.40)
< 0.0001
0.53
0.41
0.70
≤ 65
595/1992 (29.90)
Gender
Male
439/1263 (34.80)
< 0.0001
0.7
0.58
0.84
Female
262/968 (27.10)
Working burden
Heavy
64/147 (43.50)
0.694
1.04
0.86
1.27
Moderate
299/975 (30.70)
0.004
0.6
0.42
0.85
Mild
282/895 (31.50)
Marital status
Divorced/ widowed
6/14 (42.90)
< 0.0001
2.05
1.49
2.82
Single
52/261 (19.90)
0.478
0.68
0.24
1.97
Married
592/1752 (33.80)
Excessive eating
Yes
245/704 (34.80)
0.009
0.77
0.63
0.94
No
372/1276 (29.20)
Routine intake of greasy food
Yes
231/618 (37.40)
< 0.0001
0.65
0.53
0.80
No
375/1347 (27.80)
Routine intake of spicy food
Yes
196/512 (38.30)
< 0.0001
0.65
0.52
0.80
No
418/1463 (28.60)
Routine intake of acidic beverage
Yes
118/358 (33.00)
0.403
0.90
0.71
1.15
No
493/1606 (30.70)
Routine intake of strong tea
Yes
149/343 (43.40)
< 0.0001
0.51
0.4
0.64
No
451/1613 (28.00)
Routine intake of sweet food
Yes
225/683 (32.90)
0.122
0.85
0.70
1.04
No
375/1269 (29.60)
Heavy smoking
Yes
209/562 (37.20)
< 0.0001
0.68
0.55
0.83
No
407/1426 (28.50)
Excessive alcohol
Yes
185/503 (36.80)
0.002
0.71
0.57
0.88
No
434/1486 (29.20)
Routine intake of coffee
Yes
26/77 (33.80)
0.529
0.86
0.53
1.39
No
568/1869 (30.40)
Constipation
Yes
122/316 (38.60)
0.002
0.68
0.53
0.87
No
489/1641 (29.80)
Table 6 Association between variables determined using univariate analysis: Reflux esophagitis (n = 464) vs non-GERD (n = 1530) patients
Variables
REn (%)
P
OR
Univariate (95% CI)
Low
High
Age (yr)
> 65
77/210 (36.70)
< 0.0001
2.09
1.55
2.82
≤ 65
387/1784 (21.70)
Gender
Male
322/1146 (28.10)
< 0.0001
1.94
1.56
2.43
Female
142/848 (16.70)
Working burden
Heavy
45/128 (35.20)
0.353
0.90
0.71
1.13
Moderate
189/865 (21.80)
0.006
1.74
1.17
2.59
Mild
191/804 (23.80)
Marital status
Divorced/ widowed
5/13 (38.50)
< 0.0001
0.48
0.33
0.70
Single
34/243 (14.00)
0.283
1.85
0.60
5.69
Married
392/1552 (25.30)
Excessive eating
Yes
147/606 (24.30)
0.346
1.12
0.89
1.41
No
259/1163 (22.30)
Routine intake of greasy food
Yes
129/516 (25.00)
0.090
1.23
0.97
1.57
No
263/1235 (21.30)
Routine intake of spicy food
Yes
112/428 (26.20)
0.037
1.31
1.02
1.69
No
283/1328 (21.30)
Routine intake of acidic beverage
Yes
76/316 (24.10)
0.593
1.08
0.81
1.44
No
326/1439 (22.70)
Routine intake of strong tea
Yes
108/302 (35.80)
< 0.0001
2.28
1.74
2.98
No
284/1446 (19.60)
Routine intake of sweet food
Yes
131/589 (22.20)
0.769
0.97
0.76
1.22
No
265/1159 (22.90)
Heavy smoking
Yes
153/506 (30.20)
< 0.0001
1.75
1.38
2.22
No
252/1271 (19.80)
Excessive alcohol
Yes
124/442 (71.90)
0.003
1.45
1.13
1.85
No
283/1335 (21.20)
Routine intake of coffee
Yes
21/72 (29.20)
0.167
1.44
0.86
2.43
No
371/1672 (22.20)
Constipation
Yes
67/261 (25.70)
0.275
1.18
0.87
1.60
No
336/1488 (22.60)
Table 7 Association between variables determined using univariate analysis: NERD (n = 237) vs non-GERD (n = 1530) patients
Variables
NERDn (%)
P
OR
Univariate (95% CI)
Low
High
Age (yr)
> 65
29/162 (17.90)
0.08
1.46
0.96
2.25
≤ 65
208/1605 (13.00)
Gender
Male
117/941 (12.40)
0.198
0.84
0.64
0.10
Female
120/826 (14.50)
Working burden
Heavy
19/102 (8.60)
0.547
1.10
0.81
1.48
Moderate
110/786 (14.00)
0.119
1.54
0.89
2.66
Mild
91/704 (12.90)
Marital status
Divorced/ widowed
1/9 (11.10)
0.007
0.5
0.30
0.83
Single
18/227 (7.90)
0.762
0.73
0.09
5.83
Married
200/1360 (14.70)
Excessive eating
Yes
98/557 (17.60)
< 0.0001
1.71
1.27
2.29
No
113/1017 (11.10)
Routine intake of greasy food
Yes
102/489 (20.90)
< 0.0001
2.29
1.71
3.07
No
112/1084 (10.30)
Routine intake of spicy food
Yes
84/400 (21.00)
< 0.0001
2.06
1.52
2.78
No
135/1180 (11.40)
Routine intake of acidic beverage
Yes
42/282 (14.900
0.41
1.17
0.81
1.68
No
167/1280 (13.00)
Routine intake of strong tea
Yes
41/235 (17.40)
0.043
1.47
1.01
2.14
No
167/1329 (12.60)
Routine intake of sweet food
Yes
94/552 (17.00)
0.001
1.67
1.24
2.25
No
110/1004 (11.00)
Heavy smoking
Yes
56/409 (13.70)
0.802
1.04
0.75
1.45
No
155/1174 (13.20)
Excessive alcohol
Yes
61/379 (16.10)
0.078
1.34
0.97
1.85
No
151/1203 (12.60)
Routine intake of coffee
Yes
5/56 (8.90)
0.36
0.65
0.26
1.64
No
197/1498 (13.20)
Constipation
Yes
55/249 (22.10)
< 0.001
2.14
1.51
3.01
No
153/1305 (11.70)
Citation: Du J, Liu J, Zhang H, Yu CH, Li YM. Risk factors for gastroesophageal reflux disease, reflux esophagitis and non-erosive reflux disease among Chinese patients undergoing upper gastrointestinal endoscopic examination. World J Gastroenterol 2007; 13(45): 6009-6015