Cited 4 times in
The Influences of Visceral Fat Area on the Sites of Esophageal Mucosal Breaks in Subjects with Gastroesophageal Reflux Diseases
DC Field | Value | Language |
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dc.contributor.author | 박은철 | - |
dc.date.accessioned | 2019-05-29T05:11:13Z | - |
dc.date.available | 2019-05-29T05:11:13Z | - |
dc.date.issued | 2019 | - |
dc.identifier.issn | 1687-6121 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/169449 | - |
dc.description.abstract | Background: Central obesity is suggested as a risk factor for gastroesophageal reflux diseases. The aim of this study was to evaluate the influences of a visceral fat area on the site of mucosal breaks in the esophagogastric junction (EGJ). Methods: Subjects who underwent abdomen-computerized tomography and esophagogastroduodenoscopy for screening on the same day were evaluated between 2007 and 2016. We enrolled 178 subjects who had erosive esophagitis (LA classifications A-D). Abdominal obesity was evaluated by measuring visceral adipose tissue (VAT), subcutaneous adipose tissue (SAT), VAT-to-SAT ratio, total adipose tissue (TAT), body mass index (BMI), and waist circumference (WC). Results: The lesser curvature (LC) of EGJ was the most frequent site of mucosal breaks (104 cases, 58.4%). BMI, WC, VAT, the VAT-to-SAT ratio, and TAT were higher in the LC group. In multivariate analysis, higher VAT (odds ratio (OR) 2.90, 95% confidence interval (CI) 1.18 to 7.13, 3rd vs. 1st quartile, P = 0.021; OR 3.63, 95% CI 1.44 to 9.10, 4th vs. 1st quartile, P = 0.006) and the VAT/SAT ratio (OR 2.91, 95% CI 1.11 to 7.61, 3rd vs. 1st quartile, P = 0.03; OR 3.02, 95% CI 1.17 to 7.83, 4th vs. 1st quartile, P = 0.023) were significantly associated with mucosal breaks in the LC group. However, BMI, WC, and TAT were not significant in the multivariate analysis. Conclusion: The VAT and the VAT/SAT ratio were significantly associated with the mucosal breaks in the LC of EGJ. Visceral obesity could influence the location of the mucosal breaks on EGJ. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Hindawi Publishing Corporation | - |
dc.relation.isPartOf | GASTROENTEROLOGY RESEARCH AND PRACTICE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | The Influences of Visceral Fat Area on the Sites of Esophageal Mucosal Breaks in Subjects with Gastroesophageal Reflux Diseases | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Preventive Medicine and Public Health (예방의학교실) | - |
dc.contributor.googleauthor | Ji Hyung Nam | - |
dc.contributor.googleauthor | Eirie Cho | - |
dc.contributor.googleauthor | Jeung Sook Kim | - |
dc.contributor.googleauthor | Eun-Cheol Park | - |
dc.contributor.googleauthor | Jae Hak Kim | - |
dc.identifier.doi | 10.1155/2019/9672861 | - |
dc.contributor.localId | A01618 | - |
dc.relation.journalcode | J00919 | - |
dc.identifier.eissn | 1687-630X | - |
dc.identifier.pmid | 30911296 | - |
dc.contributor.alternativeName | Park, Eun-Chul | - |
dc.contributor.affiliatedAuthor | 박은철 | - |
dc.citation.volume | 2019 | - |
dc.citation.startPage | 9672861 | - |
dc.identifier.bibliographicCitation | GASTROENTEROLOGY RESEARCH AND PRACTICE, Vol.2019 : 9672861, 2019 | - |
dc.identifier.rimsid | 62832 | - |
dc.type.rims | ART | - |
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