ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG, HÌNH ẢNH NỘI SOI CỦA BỆNH NHÂN TRÀO NGƯỢC DẠ DÀY – THỰC QUẢN TẠI BỆNH VIỆN MỸ ĐỨC

Abstract

Objective: To describe the clinical characteristics, paraclinical findings, endoscopic features, and GERD-Q scores of patients with gastroesophageal reflux disease (GERD) at My Duc General Hospital. Subjects and Methods: A cross-sectional descriptive study was conducted on 140 patients diagnosed with GERD and receiving treatment at My Duc General Hospital from April 2025 to September 2025. Results: The mean age of the study population was 52.8 ± 15.2 years. Females accounted for a higher proportion (64.3%) compared to males (35.7%). Patients with normal BMI represented the largest group (68.6%), followed by overweight individuals (22.1%). Most patients had a disease duration of less than 3 years. The most common clinical symptoms were heartburn/regurgitation (100%), epigastric pain (96.42%), and retrosternal burning sensation (69.28%). Symptoms typically occurred intermittently or in episodes. The most frequent risk factors were type 2 diabetes and smoking. Most participants had a GERD-Q score of 7 or higher, with a mean score of 7.02 ± 1.77. According to the Los Angeles classification, grade A esophagitis was most common (82.42%), followed by grade B (17.16%) and grade D (1.42%). The most prevalent associated endoscopic finding was gastroduodenal erosive inflammation (95%). A significant association was observed between a GERD-Q score ≥7 and clinical symptoms such as heartburn/regurgitation, retrosternal burning, as well as risk factors including type 2 diabetes and smoking.