종합건강검진 수진자의 소화성궤양

Abstract

1990년 7월 1일부터 1995년 6원 30일까지 5년간 건강검진을 위하여 본원 종합건강증진센터에 내원한 사람 중 위내시경 검사를 시행받은 44,213명을 대상으로 소화성 궤양의 발견 빈도와 연령별 및 성별 분포를 고찰하여 다음과 같은 결과를 얻었다.

1. 44,213명 중 4,477예(10.1%)에서 소화성궤양의 소견을 보였는데, 양성위궤양 소견만 보였던 예는 2.2%, 십이지장 궤양은 7.2%, 그리고 위, 십이지장혼재궤양은 0.7%였다.

2. 성별로 분석하였을 때, 남자는 13.2%, 여자는 4.6%의 빈도를 보였다.

3. 연령특이적 소화성궤양의 빈도는 10대, 20대, 30대, 40대, 50대, 60대, 70대가 각각 5.8%, 8.0%, 8.8%, 10.7%, 10.7%, 10.2%, 및 12.9%였으며, 십이지장궤양은 연령에 따른 빈도의 차이가 없었으나, 위궤양의 경우에는 연령에 따라 빈도가 점차 증가하는 경향을 보였다.

4. 위궤양은 65.3%가 활동성 혹은 치유기의 궤양이었으나, 십이지장궤양은 70%가 반흔기의 궤양이었다.

Background

Peptic ulcer is very common but frequently asymptomatic disease. The aim of this study is to investigate the prevalence of the peptic ulcer in Korean general health examinee.

Methods

A tota1 of 44,213 general health examinee received gastroscopy at General Health Promotion Center at Asan Medical Center between July 1990 and June 1995 were analyzed.

Results

Of 44,213, 4,477 (10.1%) had peptic ulcer: 963 (2.2%) gastric ulcer, 3,196 (7.2%) duodenal ulcer. Sex-specific prevalence of peptic ulcer was 13.2% in male and 4.6% in female. Age-specific prevalence in the 2nd, 3rd, 4th, 5th, 6th, 7th, and 8th decades was 5.8%, 8.0%, 8.8%, 10.7%, 10.7%, 10.2%, and 12.9%, respectively. According to ulcer stages by Sakada, 835 (18.7%) were in active, 990 (22.1%) in healing, and 2,652 (59.2%) in scar stage. The prevalence of peptic ulcers having ulcer crater was 4.1% of 44,213 examinee. Sixty-five percent of gastric ulcers was in active or healing stage, while 70% of duodenal ulcers was in scar stage.

Conclusion

The prevalence of peptic ulcer in Korean general health examinee was 10.1%, and that of peptic ulcer in active or healing stage was 4.1%.

Background

Peptic ulcer is very common but frequently asymptomatic disease. The aim of this study is to investigate the prevalence of the peptic ulcer in Korean general health examinee.

Methods

A tota1 of 44,213 general health examinee received gastroscopy at General Health Promotion Center at Asan Medical Center between July 1990 and June 1995 were analyzed.

Results

Of 44,213, 4,477 (10.1%) had peptic ulcer: 963 (2.2%) gastric ulcer, 3,196 (7.2%) duodenal ulcer. Sex-specific prevalence of peptic ulcer was 13.2% in male and 4.6% in female. Age-specific prevalence in the 2nd, 3rd, 4th, 5th, 6th, 7th, and 8th decades was 5.8%, 8.0%, 8.8%, 10.7%, 10.7%, 10.2%, and 12.9%, respectively. According to ulcer stages by Sakada, 835 (18.7%) were in active, 990 (22.1%) in healing, and 2,652 (59.2%) in scar stage. The prevalence of peptic ulcers having ulcer crater was 4.1% of 44,213 examinee. Sixty-five percent of gastric ulcers was in active or healing stage, while 70% of duodenal ulcers was in scar stage.

Conclusion

The prevalence of peptic ulcer in Korean general health examinee was 10.1%, and that of peptic ulcer in active or healing stage was 4.1%.