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

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

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Alcohol Drinking
Endoscopy
Japan
Head and Neck Neoplasms
Smoking
Databases
Esophageal Neoplasms
Gastrointestinal Endoscopy
Incidence
Esophagus
Neck
Head

Keywords

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

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Current status of esophageal endoscopy including the evaluation of smoking and alcohol consumption in Japan : an analysis based on the Japan endoscopy database. / Katada, Chikatoshi; Horimatsu, Takahiro; Muto, Manabu; Tanaka, Kiyohito; Matsuda, Koji; Fujishiro, Mitsuhiro; Saito, Yutaka; Ohtsuka, Kazuo; Oda, Ichiro; Kato, Masayuki; Kida, Mitsuhiro; Kobayashi, Kiyonori; Hoteya, Shu; Kodashima, Shinya; Matsuda, Takahisa; Yamamoto, Hironori; Ryozawa, Shomei; Iwakiri, Ryuichi; Kutsumi, Hiromu; Miyata, Hiroaki; Kato, Mototsugu; Haruma, Ken; Fujimoto, Kazuma; Uemura, Naomi; Kaminishi, Michio; Tajiri, Hisao.

In: Esophagus, Vol. 16, No. 2, 01.04.2019, p. 174-179.

Research output: Contribution to journalArticle

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, Miyata, H, Kato, M, Haruma, K, Fujimoto, K, Uemura, N, Kaminishi, M & 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, vol. 16, no. 2, pp. 174-179. https://doi.org/10.1007/s10388-018-0650-8
Katada, Chikatoshi ; Horimatsu, Takahiro ; Muto, Manabu ; Tanaka, Kiyohito ; Matsuda, Koji ; Fujishiro, Mitsuhiro ; Saito, Yutaka ; Ohtsuka, Kazuo ; Oda, Ichiro ; Kato, Masayuki ; Kida, Mitsuhiro ; Kobayashi, Kiyonori ; Hoteya, Shu ; Kodashima, Shinya ; Matsuda, Takahisa ; Yamamoto, Hironori ; Ryozawa, Shomei ; Iwakiri, Ryuichi ; Kutsumi, Hiromu ; Miyata, Hiroaki ; Kato, Mototsugu ; Haruma, Ken ; Fujimoto, Kazuma ; Uemura, Naomi ; Kaminishi, Michio ; Tajiri, Hisao. / Current status of esophageal endoscopy including the evaluation of smoking and alcohol consumption in Japan : an analysis based on the Japan endoscopy database. In: Esophagus. 2019 ; Vol. 16, No. 2. pp. 174-179.
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T1 - Current status of esophageal endoscopy including the evaluation of smoking and alcohol consumption in Japan

T2 - an analysis based on the Japan endoscopy database

AU - Katada, Chikatoshi

AU - Horimatsu, Takahiro

AU - Muto, Manabu

AU - Tanaka, Kiyohito

AU - Matsuda, Koji

AU - Fujishiro, Mitsuhiro

AU - Saito, Yutaka

AU - Ohtsuka, Kazuo

AU - Oda, Ichiro

AU - Kato, Masayuki

AU - Kida, Mitsuhiro

AU - Kobayashi, Kiyonori

AU - Hoteya, Shu

AU - Kodashima, Shinya

AU - Matsuda, Takahisa

AU - Yamamoto, Hironori

AU - Ryozawa, Shomei

AU - Iwakiri, Ryuichi

AU - Kutsumi, Hiromu

AU - Miyata, Hiroaki

AU - Kato, Mototsugu

AU - Haruma, Ken

AU - Fujimoto, Kazuma

AU - Uemura, Naomi

AU - Kaminishi, Michio

AU - Tajiri, Hisao

PY - 2019/4/1

Y1 - 2019/4/1

N2 - 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.

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KW - Esophageal cancer

KW - Head and neck cancer

KW - Image-enhanced endoscopy

KW - Japan endoscopy database

KW - Magnifying endoscopy

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