ĐẶC ĐIỂM TỔN THƯƠNG DẠ DÀY- TÁ TRÀNG TRÊN BỆNH NHÂN CAO TUỔI MẮC BỆNH THẬN MẠN GIAI ĐOẠN 3,4,5 CHƯA ĐIỀU TRỊ THAY THẾ TẠI BỆNH VIỆN HỮU NGHỊ

Abstract

Objectives: To describe the characteristics of gastroduodenal lesions using the Modified Lanza Score in elderly patients with chronic kidney disease stages 3,4,5 who have not undergone replacement therapy at Friendship Hospital. Population and methods: A cross-sectional study on 118 patients aged ≥ 60 years with CKD stage 3,4,5 who had not yet received replacement therapy from October 2023 to August 2024. All patients undergone upper gastrointestinal endoscopy to evaluate lesions by modified Lanza score. Results: 98 patients had gastric lesions ad 20 patients had gastroduodenal lesions. The mean age was 78.9 ± 5.9 years, male/female ratio of approximately 6/1; and the average disease duration 4.2 ± 2.5 years. The most common symptom was epigastric pain (47.5%), bloating (27.1%). Only 10 patients had melena. In the stomach, the most common lesions were hyperemia and edema, with rates of 97.5% and 93.2%, the common m-Lanza was 3. In the duodenum, edema and hyperemia were less common (14,4% and 16,1%), the common m-Lanza was 5. There is a correlation between gastric ulcer lesions and the stages of chronic kidney disease, p <0.05 (iv). Conclusion: In elderly patients with chronic kidney disease at stages 3, 4, 5, upper gastrointestinal endoscopic images showed the most common lesions were hyperemia and edema in the stomach and ulcers in the duodenum.