The Changing Pattern of Upper Gastrointestinal Disorders by Endoscopy: Data of the Last 40 Years
Table 1
Numbers and percentages of the principal endoscopic diagnoses made during the 40-year examination separated into 5-year periods (the disproportion of the numbers and of the percentages is due to more than one diagnosis made in one patient).
1970–75
1976–80
1981–85
1986–90
1991–95
1996–00
2001–05
2006–10
Diagnosis (%)
1727
4925
4007
4357
7018
10718
10772
9312
Esophagitis
154 (8.9%)
257 (5.2%)
119 (3.0%)
168 (3.8%)
943 (13.4%)
1897 (17.7%)
2964 (25.0%)
2247 (24.1%)
Hiatal hernia
36 (2.1%)
114 (2.3%)
94 (2.3%)
107 (2.5%)
397 (5.3%)
938 (8.8%)
1159 (10.7%)
733 (7.8%)
Barrett’s esophagus
— (—)*
4 (0.08%)
2 (0.04%)
2 (0.04%)
8 (0.1%)
33 (0.3%)
109 (1.0%)
119 (1.27%)
Esophagus cancer
27 (1.6%)
66 (1.3)
45 (1.1%)
37 (0.8%)
65 (0.9%)
44 (0.4%)
69 (0.6%)
89 (0.9%)
Erosive gastritis
112 (6.4%)
346 (7.02%)
322 (8.03%)
595 (13.6%)
1307 (18.6%)
2072 (19.3%)
2160 (20.0%)
1617 (17.3%)
Gastric ulcer
138 (8.0%)
470 (9.5%)
300 (7.5%)
105 (2.4%)
310 (4.4%)
409 (3.8%)
366 (3.4%)
366 (3.9%)
Gastric cancer
178 (10.3%)
391 (7.9%)
166 (4.1%)
74 (1.7%)
277 (3.9%)
330 (3.1%)
255 (2.4%)
253 (2.71%)
Duodenal ulcer
136 (7.9%)
657 (13.3%)
782 (19.5%)
474 (10.8%)
1278 (18.2%)
1522 (14.2%)
1002 (9.3%)
548 (5.88%)
Normal endoscopic findings
290 (16.7%)
552 (11.2%)
325 (8.1%)
530 (12.1%)
2846 (40.5%)
5524 (51.5%)
4927 (45.7%)
5296 (56.8%)
In this period of examination, no diagnosis of Barrett’s esophagus was made.