CLINICAL PRESENTATION AND ENDOSCOPIC RESPONSE TO TREATMENT OF EROSIVE ESOPHAGITIS
1JE Torres, MD 2RC Cinco, MD 1Fellow, Gastroenterology, Veterans Memorial Medical Center 2Consultant, Gastroenterology, Veterans Memorial Medical Center
Significance: Gastroesophageal reflux disease (GERD) is an increasingly common disorder that gastroenterologists and physicians encounter in daily practice. In the Philippines, there is an increasing trend from 2.9% to 6.3% in two time with the prevalence of erosive esophagitis between 1994-1997 and 2000-2003, respectively. Because most of the patients in this institution are elderly, it is the researcher’s hope to identify the symptoms of erosive esophagitis and to determine the endoscopic response to treatment among these patients.
Methodology: All patients endoscopically diagnosed with erosive esophagitis, as classified according to Los Angeles (LA), were included in the study. Demographic profile and symptoms of GERD and the endoscopic treatment response recorded. Descriptive statistics was done on the data.
Results: Fifty-one patients were included in the study. Most of them were male (56.9%) with an average BMI of 22.6 and majority of them were classified as Grade A (88.2%). Most common symptom for patients with GERD was bloatednes (74.51%). Results showed that 50.98% of the patients were already healed at 4th week after treatment with proton pump inhibitor, while it took 8 weeks for 39.22% to be healed.
Conclusion: Elderly patients may have different clinical manifestation regardless of the severity of esophagitis and have higher risk for complications of GERD. Physicians should always be aware of atypical presentations of GERD and should have lower threshold of treating such conditions to prevent further complications