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Esophagus

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Current status of esophageal endoscopy including the evaluation of smoking and alcohol consumption in Japan: an analysis based on the Japan endoscopy database

  • Chikatoshi Katada
  • Takahiro Horimatsu
  • Manabu Muto
  • Kiyohito Tanaka
  • Koji Matsuda
  • Mitsuhiro Fujishiro
  • Yutaka Saito
  • Kazuo Ohtsuka
  • Ichiro Oda
  • Masayuki Kato
  • Mitsuhiro Kida
  • Kiyonori Kobayashi
  • Shu Hoteya
  • Shinya Kodashima
  • Takahisa Matsuda
  • Hironori Yamamoto
  • Shomei Ryozawa
  • Ryuichi Iwakiri
  • Hiromu Kutsumi
  • Hiroaki Miyata
  • Mototsugu Kato
  • Ken Haruma
  • Kazuma Fujimoto
  • Naomi Uemura
  • Michio Kaminishi
  • Hisao Tajiri
Original Article
  • 16 Downloads

Abstract

Purpose

The aim was to investigate the current status of esophageal endoscopy, including the evaluation of smoking and alcohol consumption, in Japan.

Methods

A total of 47,441 patients who underwent 69,748 sessions of esophageal endoscopy were registered in the Japan Endoscopy Database between January 2015 and March 2017. The study variables were as follows: (1) methods for monitoring the esophagus and the time required for monitoring and (2) the status of smoking and alcohol consumption in patients with esophageal cancer and head and neck cancer.

Results

Image-enhanced endoscopy was performed in 10.6%, Lugol chromoendoscopy in 4.1%, and magnifying endoscopy in 3.2%. The mean time required for gastrointestinal endoscopy was 10 min 58 s. The mean examination times in patients with or without monitoring of the head and neck were 10 min 51 s and 11 min 13 s, respectively. In 57.0% of the patients with esophageal cancer, the head and neck were monitored at the time of gastrointestinal endoscopy. The proportion of current smokers (esophageal cancer: 16.8–4.7%; head and neck cancer: 24.3–9.3%) and addicted drinkers (esophageal cancer: 52.3–40.8%; head and neck cancer: 50.2–47.3%) were lower at the second or subsequent endoscopy than at the initial endoscopy.

Conclusions

The new strategy for esophageal endoscopy has led to an evolutionary change in Japan. The patients with esophageal cancer and head and neck cancer who underwent a second or subsequent endoscopy had lower incidences of smoking and alcohol consumption, although the incidences remained high.

Keywords

Japan endoscopy database Image-enhanced endoscopy Magnifying endoscopy Esophageal cancer Head and neck cancer 

Notes

Compliance with ethical standards

Ethical Statement

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later versions. Informed consent or a substitute for it was obtained from all patients included in the study.

Conflict of interest

There are no financial or other relations that could lead to a conflict of interest.

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Copyright information

© The Japan Esophageal Society and Springer Japan KK, part of Springer Nature 2018

Authors and Affiliations

  • Chikatoshi Katada
    • 1
    • 3
  • Takahiro Horimatsu
    • 1
  • Manabu Muto
    • 1
  • Kiyohito Tanaka
    • 1
    • 2
  • Koji Matsuda
    • 1
    • 2
  • Mitsuhiro Fujishiro
    • 1
    • 2
  • Yutaka Saito
    • 1
    • 2
  • Kazuo Ohtsuka
    • 1
  • Ichiro Oda
    • 1
  • Masayuki Kato
    • 1
  • Mitsuhiro Kida
    • 1
  • Kiyonori Kobayashi
    • 1
  • Shu Hoteya
    • 1
  • Shinya Kodashima
    • 1
  • Takahisa Matsuda
    • 1
  • Hironori Yamamoto
    • 1
  • Shomei Ryozawa
    • 1
  • Ryuichi Iwakiri
    • 2
  • Hiromu Kutsumi
    • 2
  • Hiroaki Miyata
    • 2
  • Mototsugu Kato
    • 2
  • Ken Haruma
    • 2
  • Kazuma Fujimoto
    • 2
  • Naomi Uemura
    • 2
  • Michio Kaminishi
    • 2
  • Hisao Tajiri
    • 2
  1. 1.MSED-J (Minimal Standard Endoscopic Database) Creation Subcommittee, Japan Gastroenterological Endoscopy SocietyTokyoJapan
  2. 2.JED (Japan Endoscopy Database) Project Committee, Japan Gastroenterological Endoscopy SocietyTokyoJapan
  3. 3.Department of GastroenterologyKitasato University School of MedicineSagamiharaJapan

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