Naslov
The Maastricht guidelines - danger of uncritical application?

Autori
Katičić, Miroslava ; Presečki, Vladimir ; Tićak, Mirjana ; Prskalo, Marija ; Marušić, Marinko ; Šabarić, Branka ; Čolić-Cvrlje, Vesna ; Papa, Branko ; Naumovski-Mihalić, Slavica ; Dominis, Mara ; Kalenić, Smilja ; Džebro, Sonja ; Plečko, Vanda

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Digestion (0012-2823) 59 (1998), supplement 3 / - , 1998, 466-466

Mjesto i datum
,

Vrsta sudjelovanja
Poster

Vrsta recenzije
Nije recenziran

Ključne riječi
Helicobacter pylori; Maastricht guidelines; gastric carcinoma; gastric lymphoma; gastric ulcer; duodenal ulcer; clinical symptoms

Sažetak
Aim: By Maastricht guidelines concerning the age limits, investigate endoscopically detected gastric carcinomas and lymphomas, as well as gastric and duodenal ulcers in two groups of patients, aged under 45 and above 45 years, i.e. among younger and older patients. Methods: 1323 endoscopically examined patients were divided in two age groups: younger than 45 (N=398 ; 30%) ; F/M 157(39%)/241(61%) and older than 46 years (N=925 ; 70%) F/M 408 (44%)/517(56%). In patients with gastric carcinoma (GC) and lymphoma (GL), gastric ulcer (GU) and duodenal ulcer (DU) clinical symptoms were classified as following: no symptoms (NS), epigastric pain (EP), weight loosing (WL) and previous bleding (PB). Results: Younger N (%) NS (%) E P (%) WL (%) PB (%) GC 8 ( 2) 2 (25) 5 (63) 3 (38) - GL 5 (1.3) 2 (40) 2 (40) 2 (40) - GU 48 (12) 3 ( 6) 39 (81) 11 (23) 8 (17) DU 219 (55) 26 (12) 183 (84) 33 (15) 43 (20) Older: GC 70 (7.6) 11 (16) 40 (57) 36 (51) 15 (21) GL 14 (1.5) 5 (36) 6 (42) 2 (14) 1 ( 7) GU 280 (30) 79 (28) 180 (64) 33 (12) 63 (23) DU 315 (34) 55 (18) 235 (75) 53 (17) 64 (20) Conclusion: The incidence of GC is lower among the young (p< 0.05), but 8 cases of GC in not negligeable. GL is in equal proportions in both groups. GU is more frequent in older and DU in younger, as it was expected. More than half of younger patients with GC, GL and GU have no “alarm” symptoms and according to Maastricht ‘s agreement would be in danger to miss endoscopy and undergo only eradication therapy (H.pylori posit:ive: GC 87.5% ; GL 80% ; GU 82%, DU 95%).

Izvorni jezik
Engleski

Znanstvena područja
Javno zdravstvo i zdravstvena zaštita

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