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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
2010-10-27
pubmed:abstractText
A higher prevalence of erosive esophagitis is found in obese than in nonobese patients; however, it remains unclear why some obese patients develop this disease, whereas others do not. Accordingly, we elucidated the risk factors associated with erosive esophagitis in severely obese Chinese patients. Between June 2007 and January 2009, a total of 260 Chinese patients with morbid obesity referred for bariatric surgery were enrolled in this cross-sectional study. All patients received preoperative endoscopy for evaluation of the presence and severity of erosive esophagitis. Demographic variables, anthropometric measurements, and metabolic factors were included in a logistic regression model to identify the factors predictive of erosive esophagitis. The prevalence of erosive esophagitis was 32.3%. Multiple logistic regression showed that increased waist circumference (odds ratio (OR) = 1.03, 95% confidence interval (CI) = 1.01-1.04), increased insulin resistance (OR = 1.57, 95% CI = 1.06-2.31), and presence of reflux symptoms (OR = 2.40, 95% CI = 1.22-4.74) were independent risk factors associated with erosive esophagitis. In conclusion, among Chinese patients with morbid obesity, increased waist circumference and insulin resistance were risk factors for erosive esophagitis, which highlights the critical role of visceral adiposity in the pathogenesis of erosive esophagitis.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
1930-7381
pubmed:author
pubmed:issnType
Print
pubmed:volume
18
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2165-9
pubmed:meshHeading
pubmed-meshheading:20559298-Adiposity, pubmed-meshheading:20559298-Adult, pubmed-meshheading:20559298-Analysis of Variance, pubmed-meshheading:20559298-Bariatric Surgery, pubmed-meshheading:20559298-China, pubmed-meshheading:20559298-Cross-Sectional Studies, pubmed-meshheading:20559298-Esophagitis, Peptic, pubmed-meshheading:20559298-Esophagoscopy, pubmed-meshheading:20559298-Female, pubmed-meshheading:20559298-Gastroesophageal Reflux, pubmed-meshheading:20559298-Humans, pubmed-meshheading:20559298-Incidence, pubmed-meshheading:20559298-Insulin Resistance, pubmed-meshheading:20559298-Intra-Abdominal Fat, pubmed-meshheading:20559298-Logistic Models, pubmed-meshheading:20559298-Male, pubmed-meshheading:20559298-Obesity, Abdominal, pubmed-meshheading:20559298-Obesity, Morbid, pubmed-meshheading:20559298-Odds Ratio, pubmed-meshheading:20559298-Prevalence, pubmed-meshheading:20559298-Risk Factors, pubmed-meshheading:20559298-Waist Circumference, pubmed-meshheading:20559298-Young Adult
pubmed:year
2010
pubmed:articleTitle
The relationship between visceral adiposity and the risk of erosive esophagitis in severely obese Chinese patients.
pubmed:affiliation
Department of Internal Medicine, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan.
pubmed:publicationType
Journal Article