PMID- 27087951 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160418 LR - 20181113 IS - 2050-6406 (Print) IS - 2050-6414 (Electronic) IS - 2050-6406 (Linking) VI - 4 IP - 2 DP - 2016 Apr TI - Prevalence of severe esophagitis in Spain. Results of the PRESS study (Prevalence and Risk factors for Esophagitis in Spain: A cross-sectional study). PG - 229-35 LID - 10.1177/2050640615595916 [doi] AB - BACKGROUND: *N.P. and M.P. contributed equally to this study.The current prevalence of esophagitis in southern Europe is unknown. In addition, the risk factors for reflux esophagitis are not fully understood. OBJECTIVE: The objective of this article is to assess the prevalence and risk factors for esophagitis in Spain. METHODS: A prospective, observational, cross-sectional, multicenter study (PRESS study) was conducted among 31 gastrointestinal endoscopy units throughout Spain. A total of 1361 patients undergoing upper gastrointestinal endoscopy were enrolled. Sociodemographic, clinical and treatment data were recorded. RESULTS: A total of 95% of patients were Caucasian and 52% were male (mean age: 53 +/- 17 years). The most frequent symptoms prompting endoscopy were heartburn (40%), regurgitation (26%) and dysphagia (15%). Fifty-four percent of patients undergoing endoscopy were receiving proton pump inhibitor (PPI) treatment. Esophagitis (mainly mild-moderate) was present in 154 (12.4%) patients. The severe form was recorded in only 11 (0.8%) patients. Multivariate analysis results indicated that the likelihood of esophagitis was higher in men (OR = 1.91, 95% CI = 1.31-2.78), in patients with high GERD-Q scores (OR = 1.256, 95% CI = 1.176-1.343), weight increase (OR = 1.014, 95% CI = 1.003-1.025) and high alcohol consumption (OR = 2.49, 95% CI = 1.16-5.36). CONCLUSION: Severe esophagitis is a rare finding in the Spanish population. Male gender, high GERD-Q score, weight increase and high alcohol consumption are main risk factors for its appearance. FAU - Pique, Nuria AU - Pique N AD - Department of Microbiology and Parasitology, Pharmacy Faculty, Universitat de Barcelona, Spain. FAU - Ponce, Marta AU - Ponce M AD - Department of Gastroenterology, Hospital Universitario La Fe, Valencia, Spain. FAU - Garrigues, Vicente AU - Garrigues V AD - Department of Gastroenterology, Hospital Universitario La Fe, Valencia, Spain. FAU - Rodrigo, Luis AU - Rodrigo L AD - Digestive Tract Department, Hospital Central de Asturias, Oviedo, Spain. FAU - Calvo, Felix AU - Calvo F AD - Department of Gastroenterology, Complejo Hospitalario Universitario de Albacete, Albacete, Spain. FAU - de Argila, Carlos Martin AU - de Argila CM AD - Department of Gastroenterology, Hospital Universitario Ramon y Cajal, Madrid, Spain. FAU - Borda, Fernando AU - Borda F AD - Service of Digestive Tract, Hospital de Navarra, Pamplona, Spain. FAU - Naranjo, Antonio AU - Naranjo A AD - Gastroenterology and Hepatology Department, University Hospital Reina Sofia, Cordoba, Spain. FAU - Alcedo, Javier AU - Alcedo J AD - Gastroenterology and Hepatology, Hospital San Jorge, Huesca, Spain. FAU - Jose Soria, Maria AU - Jose Soria M AD - Department of Digestive Tract, Hospital Universitario Puerta del Mar, Cadiz, Spain. FAU - Rey, Enrique AU - Rey E AD - Department of Digestive Tract, Hospital Clinico Universitario San Carlos, Madrid, Spain. FAU - Bujanda, Luis AU - Bujanda L AD - Department of Gastroenterology Hospital de Donostia, San Sebastian, Spain; Instituto Biodonostia (Universidad del Pais Vasco UPV/EHU), Spain; Centro de Investigacion Biomedica en Red de Enfermedades Hepaticas y Digestivas (CIBERehd), Madrid, Spain. FAU - Gisbert, Javier P AU - Gisbert JP AD - Centro de Investigacion Biomedica en Red de Enfermedades Hepaticas y Digestivas (CIBERehd), Madrid, Spain; Hospital Universitario de la Princesa, Instituto de Investigacion Sanitaria Princesa (IIS-IP), Madrid, Spain. FAU - Suarez, David AU - Suarez D AD - Unitat d'Epidemiologia i Avaluacio-Fundacio Parc Tauli, Hospital de Sabadell, Institut Universitari Parc Tauli, Universitat Autonoma de Barcelona, Sabadell, Spain. FAU - Calvet, Xavier AU - Calvet X AD - Hospital Universitario de la Princesa, Instituto de Investigacion Sanitaria Princesa (IIS-IP), Madrid, Spain; Department of Gastroenterology, Corporacio Sanitaria Universitaria Parc Tauli, Sabadell (Barcelona), Spain; Departament de Medicina, Universitat Autonoma de Barcelona, Barcelona, Spain. FAU - Ponce, Julio AU - Ponce J AD - Department of Gastroenterology, Hospital Universitario La Fe, Valencia, Spain. CN - PRESS Study Group LA - eng PT - Journal Article DEP - 20150724 PL - England TA - United European Gastroenterol J JT - United European gastroenterology journal JID - 101606807 PMC - PMC4804364 OTO - NOTNLM OT - Barrett's esophagus OT - Endoscopy OT - gastro-esophageal reflux disease (GERD) OT - gastrointestinal symptoms OT - hiatal hernia OT - nonsteroidal anti-inflammatory drugs (NSAID) OT - questionnaires OT - severe esophagitis EDAT- 2016/04/19 06:00 MHDA- 2016/04/19 06:01 PMCR- 2016/04/01 CRDT- 2016/04/19 06:00 PHST- 2015/04/16 00:00 [received] PHST- 2015/06/21 00:00 [accepted] PHST- 2016/04/19 06:00 [entrez] PHST- 2016/04/19 06:00 [pubmed] PHST- 2016/04/19 06:01 [medline] PHST- 2016/04/01 00:00 [pmc-release] AID - 10.1177_2050640615595916 [pii] AID - 10.1177/2050640615595916 [doi] PST - ppublish SO - United European Gastroenterol J. 2016 Apr;4(2):229-35. doi: 10.1177/2050640615595916. Epub 2015 Jul 24.