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Background And Aims: Gastroesophageal reflux disease (GERD) is widespread in the population and is characterized by the risk of developing Barrett's esophagus and associated adenocarcinoma. Key factors in the progression of the disease are not only the frequency and duration of reflux episodes, but also the resistance of the esophageal mucosa to aggressive reflux molecules. Assessment of the state of tight junction proteins, the rate of their recovery under the influence of various treatment regimens is an urgent task for choosing optimal approaches to curing patients with GERD.

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Objective: Reflux oesophagitis (RO) is one of the most common diseases encountered by gastroenterologists and primary care physicians. However, few epidemiological studies have investigated the association of medication use and RO. This study aimed to investigate the prevalence of RO and its risk factors, particularly with respect to medication use.

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Prevalence of common upper gastrointestinal diseases in Chinese adults aged 18-64 years.

Sci Bull (Beijing)

December 2024

Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China. Electronic address:

Article Synopsis
  • A community-based study was conducted in China to assess the prevalence of GERD, reflux esophagitis, gastric and duodenal ulcers, as well as Helicobacter pylori infection among adults aged 18-64, involving 27,637 participants from 2017 to 2018.
  • The study found prevalence rates of 10.5% for GERD, 5.4% for reflux esophagitis, 2.5% for gastric ulcers, 4.5% for duodenal ulcers, and 41.5% for H. pylori infection, with specific regions showing varying rates.
  • Common risk factors identified for GERD, reflux esophagitis, and gastric ulcers included
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Upper gastrointestinal (GI) bleeding in older children is generally caused by conditions like esophagitis, esophageal variceal rupture, and peptic ulcer disease. However, it is rare for bleeding to result from a ruptured vascular aneurysm of the gastroduodenal artery, particularly when associated with peptic ulcer disease. This report describes a case involving a 13-year-old male who presented with severe upper GI bleeding and hemodynamic instability, requiring blood transfusion.

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Background: Obesity is associated with an increased risk of reflux esophagitis (RE). Metabolic abnormalities have been implicated in the pathogenesis of RE. However, the role of metabolic status in the risk of RE among individuals with varying degrees of obesity remains unclear.

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