[Gastroenterological endoscopic findings in alcoholic liver disease patients--comparison of daily drinkers at physical check up].
We compared findings of alcoholic liver disease patients used by gastroenterological endoscopes (31 patients hospitalized in Hyogo Prefectural Amagasaki Hospital: AA group, and 156 patients hospitalized in Suma Red Cross Hospital: AL group) with physical checkup patients (48 daily drinkers: A group, and 99 non drinkers: C group). Esophageal varices were seen by the majority of AA group, and the frequencies of esophageal cancers were also high in the gullet changed to morbid state. Although these things were seen AL group, there were few as compared with AA group. Moreover, frequencies of esophagitises in AL group were higher than C group (p < 0.05), though it was the same level in C group and AA group. In a strange stomach trouble, as for AL and A group, there were a lot of gastric erosions compared with C group (p < 0.05). However, AL group compared with the other groups, the gastric polyps were few (especially C group, p < 0.01). In the duodenum, changing to a morbid state, ulcers were high frequency (5/31) in AA group compared with the other groups (p < 0.05). Moreover AA and AL groups had a lot of polyps high frequency compared with C group (p < 0.05), and duodenitises were high frequencies in AL group compared with A and C group (p < 0.05, p < 0.01). It seemed stronger that the digestive organs changing to morbid state was tendency depended on alcohol consumption and the influence of smoking was not able to be disregarded.
Sugano
Masahiko
M
Sugano Internal Medical Clinic, 1048-3 Kitajuku, Bessyo-cho, Himeji, Hyogo 671-0223, Japan.
Saita
Hiroshi
H
Sou
Yasunari
Y
Yoshinaga
Takayuki
T
Matsumura
Tsuyoshi
T
Minami
Maya
M
Nakashima
Eishin
E
Kouchi
Yoshirou
Y
D000328:Adult; D000368:Aged; D000428:Alcohol Drinking / Q000009:adverse effects / Q000473:pathology*; D016099:Endoscopy, Gastrointestinal; D005767:Gastrointestinal Diseases / Q000453:epidemiology / Q000209:etiology* / Q000473:pathology*; D041981:Gastrointestinal Tract / Q000473:pathology*; D006801:Humans; D008108:Liver Diseases, Alcoholic / Q000150:complications / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009098:Multiphasic Screening; D010808:Physical Examination