ENDOSCOPE FINDINGS IN CHRONIC RENAL FAILURE UNDERGOING HEMODIALYSIS

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ANSARI R.; ALI ASGARI A.; SOTOUDEHMANESH R.; NOORAIE M.; GUDARZI Z.

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Journal: GOVARESH Journal Year:2003 | Volume:7 | Issue:39-40 Page(s): 84-88

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Title

ENDOSCOPE FINDINGS IN CHRONIC RENAL FAILURE UNDERGOING HEMODIALYSIS

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Keywords

CHRONIC RENAL FAILUREQ3

HEMODIALYSISQ3

UPPER G.L. ENDOSOCOPYQ4

ESOPHAGITISQ4

PEPTIC ULCERQ4

GASTRODUODENAL EROSIONQ3

Abstract

Background and Study Aims: Patients with CHRONIC RENAL FAILURE may demonstrate a number of gastrointestinal lesions and suffer subsequent complications. Our aim was to investigate the endoscope findings in these patients and identify the predisposing factors.Patients and Methods: During a 1-year period (February 2000 to January 2001), we studied consecutive patients with CHRONIC RENAL FAILURE who were undergoing routine endoscopy before renal transplantation. The rapid urease test was also performed to detect Helicobacter pylori infection. Demographic and clinical data were collected. Logistic regression analysis was used to determine the risk factors for important endoscopic lesions, including ESOPHAGITIS, GASTRODUODENAL EROSIONs, and PEPTIC ULCERs.Results: We studied 206 patients (124 male, 82 female, mean age 38.9). Of the patients 73.8% were asymptomatic but some patients experienced nausea (12.6 %), heartburn (8.7 %), and abdominal pain (7.3 %). Endoscopy was normal in 74 patients (35.9%). Abnormal endoscopic findings were duodenal erosions (32.0 %), antral erosions (22.8 %), diffuse antral erythema (27.8%), duodenal ulcer (7.3 %), ESOPHAGITIS (5.8 %), angiodysplasia (4.4 %), nodular duodenum (2 %), and inflammatory gastric polyps (1.5 %). The rapid urease test was positive in 58.8 % 01 patients. Important endoscopic lesions were more common in men and in H. pylori-infected patients. Age, duration 01 dialysis, cause of the CHRONIC RENAL FAILURE, presence of any symptoms, and hemoglobin levels were not found to be related to these lesions. Most patients with PEPTIC ULCERs were asymptomatic.Conclusions: Duodenal erosions (32.0 %), gastric erosions (22.8 %), diffuse antral erythema (27.8%) and duodenal ulcer (7.3%) are common lesions in patients with end-stage renal disease. Male gender and H. pylor infection are associated with a higher risk of these lesions As there is no association between patients symptoms and gastroduodenal lesions, which may increase the risk of post-transplant complications, the development of diagnostic strategies for the detection of these lesions is recommended.

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APA: Copy

ANSARI, R., ALI ASGARI, A., SOTOUDEHMANESH, R., NOORAIE, M., & GUDARZI, Z.. (2003). ENDOSCOPE FINDINGS IN CHRONIC RENAL FAILURE UNDERGOING HEMODIALYSIS. GOVARESH JOURNAL, 7(39-40), 84-88. SID. https://sid.ir/paper/86170/en

Vancouver: Copy

ANSARI R., ALI ASGARI A., SOTOUDEHMANESH R., NOORAIE M., GUDARZI Z.. ENDOSCOPE FINDINGS IN CHRONIC RENAL FAILURE UNDERGOING HEMODIALYSIS. GOVARESH JOURNAL[Internet]. 2003;7(39-40):84-88. Available from: https://sid.ir/paper/86170/en

IEEE: Copy

R. ANSARI, A. ALI ASGARI, R. SOTOUDEHMANESH, M. NOORAIE, and Z. GUDARZI, “ENDOSCOPE FINDINGS IN CHRONIC RENAL FAILURE UNDERGOING HEMODIALYSIS,” GOVARESH JOURNAL, vol. 7, no. 39-40, pp. 84–88, 2003, [Online]. Available: https://sid.ir/paper/86170/en

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