Assessment of ten-year dynamics of cases of hospitalizations of patients with peptic ulcer disease, chronic gastritis and chronic duodenitis

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Abstract

Aim. To assess of the ten-year dynamics of cases of hospitalizations of patients with peptic ulcer disease (PUD), chronic gastritis and chronic duodenitis relative to the total number of people treated in the gastroenterological departments of the hospital in 2010–2019.

Materials and methods. Data of the annual reports of the work of the hospital departments were studied retrospectively.

Results. The relative number of persons hospitalized for chronic duodenitis decreased 2.8 times (p<0.001), but the proportion of patients with chronic gastritis did not tend to decrease. This is most likely due to diagnostic errors. The cases of hospitalization of persons with uncomplicated PUD decreased by 3.1 times (p<0.001), the proportion of men with duodenal ulcer decreased by 6.3 times (p<0.001), with gastric ulcer decreased 1.9 times (p<0.01). The proportion of women hospitalized with duodenal ulcer decreased 2.3 times (p<0.01). The number of hospitalized men with duodenal ulcer is 3.8 times more than females (p<0.001). It can be explained by a decrease in social stressful influences and active anti-Helicobacter pylori therapy.

Conclusion. Over the period of follow-up, the cases of hospitalization of patients with uncomplicated PUD decreased, primarily due to a decrease in the proportion of persons with ulcer of the duodenum and duodenitis, while the number of patients with chronic gastritis not undergoing modern examination did not have significant dynamics.

About the authors

Mikhail A. Butov

Ryazan State Medical University

Email: t-zhestkova@bk.ru
ORCID iD: 0000-0003-3402-1128

д-р мед. наук, проф., зав. каф. пропедевтики внутренних болезней

Russian Federation, Ryazan

Tatyana V. Zhestkova

Ryazan State Medical University

Author for correspondence.
Email: t-zhestkova@bk.ru
ORCID iD: 0000-0002-6505-1031

канд. мед. наук, доц. каф. пропедевтики внутренних болезней

Russian Federation, Ryazan

Evgeniia M. Esakova

City Clinical Hospital №4

Email: t-zhestkova@bk.ru

зам. глав. врача по мед. части

Russian Federation, Ryazan

Larisa V. Efanova

City Clinical Hospital №4

Email: t-zhestkova@bk.ru

врач-статистик

Russian Federation, Ryazan

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Supplementary files

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2. Fig. 1. Dynamics of the number of hospitalized patients with peptic ulcer disease (PUD) in relation to the total number of treated persons with diseases of the digestive system for the period 2010–2019.

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3. Fig. 2. Distribution of the ratio of hospitalizations of patients with duodenal ulcer to hospitalizations of persons with gastric ulcer in men and women over the period 2010–2019.

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4. Fig. 3. The general incidence of PUD in the Ryazan region.

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5. Fig. 4. Distribution of hospitalizations of patients with chronic duodenitis and chronic gastritis relative to the total number of patients treated with diseases of the digestive system for the period 2010–2019.

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