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DOI: 10.1055/s-0040-1704782
ENDOSCOPY AND GENDER, SIMILIARTIES AND DIFFERENCES
Publikationsverlauf
Publikationsdatum:
23. April 2020 (online)
Aims Our aim was to assess similarities and differences among males and females underwent endoscopy, including indications and results.
Methods Review of the endoscopy reports from 2012 to 2016. Data regarding demographics, indications, procedure´s result and all-cause mortality were collected.
Results 12,213 gastroscopies among males, (age, 56.7 ± 17.4) and 15,817 among females (age, 56.0 ± 17.3, p = 0.002) were performed. Abdominal pain, anemia, celiac and nausea/vomiting were more common as indication for gastroscopy in women (p < 0.001), while Barrett´s esophagus, cirrhosis, esophageal varices and gastrointestinal bleeding are more common in men (p < 0.001). Gastritis, duodenitis, peptic ulcers, achalasia, esophageal polyps and gastric cancer are higher in men (p < 0.001), while Hiatal Hernia and gastric polyps were more found in women (p < 0.001). Higher all-cause mortality among males, 486 (4%) vs 284 (1.8%), p < 0.001) were found.
11,827 colonoscopies among male (age 60.22 ± 13.7) and 12,587 among female (age 59.44 ± 13.4, p < 0.001) were performed. Change of bowel habits, abdominal pain, constipation, diarrhea and positive fecal occult blood test were higher in women as indication for colonoscopy compared with men (p < 0.001), while rectal bleeding was more common among men(p < 0.001). Colonoscopy findings showed higher normal examination, hemorrhoids and melanosis coli in women (p < 0.001), while Poor preparation and rectal carcinoma were higher in men (p < 0.001). Higher all-cause mortality was in men 175 (1.5%) vs 129 (1%) in women was observed.
Conclusions Significant differences regarding indications, procedures findings and long-term all-cause mortality were found between women and men referred to gastroscopy or colonoscopy.