Research Article

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).

1970–751976–801981–851986–901991–951996–002001–052006–10

Diagnosis (%)1727492540074357701810718107729312

Esophagitis154 (8.9%)257 (5.2%)119 (3.0%)168 (3.8%)943 (13.4%)1897 (17.7%)2964 (25.0%)2247 (24.1%)
Hiatal hernia36 (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 cancer27 (1.6%)66 (1.3)45 (1.1%)37 (0.8%)65 (0.9%)44 (0.4%)69 (0.6%)89 (0.9%)
Erosive gastritis112 (6.4%)346 (7.02%)322 (8.03%)595 (13.6%)1307 (18.6%)2072 (19.3%)2160 (20.0%)1617 (17.3%)
Gastric ulcer138 (8.0%)470 (9.5%)300 (7.5%)105 (2.4%)310 (4.4%)409 (3.8%)366 (3.4%) 366 (3.9%)
Gastric cancer178 (10.3%)391 (7.9%)166 (4.1%)74 (1.7%)277 (3.9%)330 (3.1%)255 (2.4%)253 (2.71%)
Duodenal ulcer136 (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 findings290 (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.