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 MiyataMototsugu Kato, Ken Haruma, Kazuma Fujimoto, Naomi Uemura, Michio Kaminishi, Hisao Tajiri

Research output: Contribution to journalArticle

1 Citation (Scopus)

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.

Original languageEnglish
Pages (from-to)174-179
Number of pages6
JournalEsophagus
Volume16
Issue number2
DOIs
Publication statusPublished - 2019 Apr 1
Externally publishedYes

Keywords

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

ASJC Scopus subject areas

  • Gastroenterology

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    Katada, C., Horimatsu, T., Muto, M., Tanaka, K., Matsuda, K., Fujishiro, M., Saito, Y., Ohtsuka, K., Oda, I., Kato, M., Kida, M., Kobayashi, K., Hoteya, S., Kodashima, S., Matsuda, T., Yamamoto, H., Ryozawa, S., Iwakiri, R., Kutsumi, H., ... Tajiri, H. (2019). Current status of esophageal endoscopy including the evaluation of smoking and alcohol consumption in Japan: an analysis based on the Japan endoscopy database. Esophagus, 16(2), 174-179. https://doi.org/10.1007/s10388-018-0650-8