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Endoscopic alterations in a cohort of hemodialysis patients: a cross-sectional study

机译:一群血液透析患者的内镜改变:一项横断面研究

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Introduction: Although the association between chronic kidney disease and dyspepsia is widely known, it remains poorly investigated. Among the types of gastric inflammation that lead to symptoms, erosive antral gastritis is the most common form. A direct correlation between the urea serum levels and the time in hemodialysis with the onset of gastric metaplasia and dyspepsia can be observed. The aim of this study was to report the endoscopic alterations found in hemodialysis patients. Methods: This is a cross-sectional study based on the medical records of 95 patients older than 18 years who were diagnosed with chronic kidney disease. The results of endoscopies performed up to 6 months before the beginning of the study were included. Results: Among the 95 studied patients, 56.84% were male, 60% were Caucasian, and 71.57% used proton pump inhibitors. The endoscopic alteration most frequently observed was erosive gastritis (77% of the cases); however, the frequency of the alteration that caused the symptoms was irrelevant. The antrum was the most common site of involvement (55.79%). Conclusion: Patients with chronic kidney disease often show dyspeptic symptoms. Other abnormalities are common but are not correlated with such symptoms. In conclusion, this study identified the endoscopic alterations that are most often observed in hemodialysis patients; erosive and enanthematous gastritis were the most common forms observed.
机译:简介:尽管慢性肾脏疾病和消化不良之间的关联广为人知,但仍缺乏研究。在导致症状的胃部炎症类型中,糜烂性胃炎是最常见的形式。可以观察到尿素血清水平和血液透析时间与胃上皮化生和消化不良的发生有直接关系。这项研究的目的是报告在血液透析患者中​​发现的内镜改变。方法:这是一项横断面研究,基于95例18岁以上的被诊断患有慢性肾脏病的患者的病历。包括研究开始前长达6个月的内镜检查结果。结果:在研究的95名患者中,男性使用的质子泵抑制剂为男性的56.84%,白种人的60%和71.57%。最常观察到的内镜改变是糜烂性胃炎(77%);但是,引起症状的改变频率无关紧要。窦腔是最常见的受累部位(55.79%)。结论:慢性肾脏病患者常表现出消化不良症状。其他异常很常见,但与此类症状无关。总之,这项研究确定了在血液透析患者中​​最常观察到的内镜改变。糜烂性胃炎和胃炎性胃炎是最常见的形式。

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