Journal of Multidisciplinary Healthcare (Jan 2024)
An Investigation into the Characteristics and Distribution Patterns of Diseases Detected via Gastroscopy in Northern Xinjiang, China
Abstract
Fei-Fei Wang,1,* Nan Li,1,* Jing-Jing Wang,1 Nijiti Muyesai,1 Haiyan Fu2 1The People’s Hospital of Xinjiang Uygur Autonomous Region, Xinjiang Emergency Care Center, Urumqi, Xinjiang Uygur Autonomous Region, 830000, People’s Republic of China; 2Department of Gastroenterology, Urumqi Friendship Hospital, Urumqi, Xinjiang Uygur Autonomous Region, 830000, People’s Republic of China*These authors contributed equally to this workCorrespondence: Haiyan Fu, Department of Gastroenterology, Urumqi Friendship Hospital, 558, Shengli Road, Urumqi, Xinjiang Uygur Autonomous Region, 830000, People’s Republic of China, Tel/Fax +8618599026892, Email [email protected] Nijiti Muyesai, The People’s Hospital of Xinjiang Uygur Autonomous Region, Xinjiang Emergency Care Center, the People’s Republic of China, No. 91, Tianchi Road, Tianshan District, Urumqi, 830000, People’s Republic of China, Tel/Fax +86 13899955322, Email [email protected]: The aim of this study is to examine the distribution and features of gastroscopy in northern Xinjiang, a province in China.Methods: We included a group of 895 patients diagnosed with digestive diseases at Urumqi Friendship Hospital and analyzed their gastroscopic results and baseline data.Results: Among patients aged 12 to 86 years in the specified region, females exhibited a heightened susceptibility to esophageal-gastrointestinal and intestinal disorders compared to males. The mean age for chronic gastritis onset was determined to be 54.79 years. In the context of esophageal-gastric-intestinal disorders, the distribution across various ethnic groups manifested as follows: the Han, Uygur, Hui, and Kazakh populations comprised 53.97%, 23.91%, 7.15%, and 3.46%, respectively. Through principal component-based dimension reduction analysis, we identified chronic non-atrophic gastritis with erosive gastritis, duodenal bulb inflammation, and chronic non-atrophic gastritis (predominantly in the gastric antrum) as pivotal factors contributing to differences in hiatal hernia. Multiple linear regression models were established for different ethnic groups, duodenal bulb inflammation, and hiatal hernia by age. The results revealed a heightened risk of duodenal bulb inflammation (P < 0.01) in Han, Kazakh, Hui, Mongolian, and Uygur women, while the risk of hiatal hernia exhibited a positive correlation with age (P = 0.001).Conclusion: Among patients undergoing gastrointestinal examinations in northern Xinjiang, the most prevalent pathological condition was identified as chronic gastritis. Notably, within this subgroup, the prevalence of duodenal bulb inflammation was found to be greater in women than in men. The ethnic composition within this context encompassed patients from the Han, Kazakh, Hui, and Mongolian ethnic groups. Furthermore, a positive correlation was identified between the incidence of esophageal hiatal hernia and age.Keywords: age, ethnicity, esophageal-gastric-intestinal disease, gastroscopy, gender, northern Xinjiang
