Compare Of Digestive System Disease In China And Nepal

ObjectiveDigestive System diseases refer to diseases affecting the gastrointestinal tract mainly Stomatch,Small Intestine,Large Intestine and.Esophagus.Inflammation of the stomach by infection from any cause is called gastritis,and when including other parts of the gastrointes-tinal tract called gastroenteritis.Another common condition is gastric ulceration,peptic ulcers.Ulceration erodes the gastric mucosa,which protects the tissue of the stomach from the stomach acids.Peptic ulcers are most commonly caused by a bacterial Helicobactor Pylori.An Ulcer in the stomach is known as Gastric Ulcer while that in the first part of the intestine is known as a Duodenal Ulcer.The main aim of this Study is to Compare the Prevalence of Digestive System Disease in the patients who came to the Outpatient Department of Affiliated Hospital of Taishan Medical University,Taian,China and the Outpatient Department of Kathmandu Model Hospital Kathmandu,Nepal from February 2016 to February 2018 Method And MaterialsIn this Clinical Trail,2000 Chinese Patients and 2000 Nepali Patients who came with the symptoms of extreme burning sensation in stomach,belching,vomiting,weight loss and poor appetite,walking at night with upper abdominal pain were evaluated in the outpatient department of Kathmandu Model Hospital,Nepal and the Affiliated Hospital of Taishan Medical University,Taian,China.The Patients were divided into Age group and Gender.This study group contain the data of Patients having Esophagitis,Gastritis,Gastric Ulcer,Gastric Cancer,Duodenal Cancer,Duodenitis,Gastro Duodenal Reflux and Oesphageal Varies.In China the H.Pylori test was done by using 14c-Urea Exhalation Test(UBT)in a Non Invasive Method while In Nepal The H.Pylori Test was done by using Biopsy Test in Non Interventional Method.The Chinese Data is collected from Outpatient Department,Medical Lab and the Gastroscopy Department of the Affiliated Hospital of Taishan Medical University.The Nepali Data is send by my friend Dinesh Khadka at the same time from February 2016 to February 2018.The Endoscopy is done at the Affiliated Hospital of Taishan Medical University by Olympus260 HZ and the Endoscopy is done at Kathmandu Model Hospital by Pentax ED 3270 K.Statistical AnalysisStatistical analysis was made using 13 version of SPSS for Windows software package.The chi-square test and Fisher’s exact the prevalence of Digestive System Disease among Chinese Patients and the Nepali Patients.ResultsThe Result showed that the prevalence of Digestive System Disease(PUD)is more in Nepal than in China.Among Digestive Disease compared between two Hospitals of China and Nepal,the following result was found,Esophagitis in China(Male 2.9%,Female 2.4%)Esophagitis in Nepal(Male 2.9%,Female 2.4%),Gastritis in China(Male16.6%,Female 13%),Gastritis in Nepal(Male 18.7%,Female 16%)Gastric Ulcer in China(Male 20.7%,Female 19%)Gastric Ulcer in Nepal(Male2.9%,Female 2.6%)Gastric Cancer in China(Male 2.9%,Female 2.6%)Gastric Cancer in Nepal(Male 2.9%,Female 3.6%)Duodenal Ulcer in China(Male 2.2%,Female 4.6%)Duodenal Ulcer in Nepal(Male 7.2%,Female 7.1%)Duodenitis in Nepal(Male 1.5%,Female 2.6%)Duodenitis in China(Male 1.5%,Female 1.6%)Gastroduodenal Reflux in China(Male 1.6%,Female 1.5%)Gastroduodenal Reflux in Nepal(Male 1.6%,Female 1.5%)Oesophageal Varies in China(Male 2.8%,Female 3.1%)Oesophageal Varies in Nepal(Male 2.8%,Female 3.1%)The Total Percentage of male Patients in China is 51.2% and Female Patients is48.8% while in Nepal the total percentage of Male Patients in China is 51.7% and Female Patients 48.3%Similarly Among Age Groups;In China among 15-24 Age group(Male 5.5%,Female5.5%),In Nepal Male(6.3%,Female 6.4%)Among 25-35 Age Group In China(Male 6.2%,Female 6%)In Nepal(Male 9.1%,Female 8.4%)Among 35-44 Age Group In China(Male 6%Female 6.6%)In Nepal(Male 9.1%,Female 8.4%)Among 45-54 Age Group In China(Male 19.1%,Female 18%)In Nepal(Male 14.6%,Female 13.8%)Among 55-64 Age Group in China(Male 7.1%,Female 6%)in Nepal(Male 3.3%,Female 3.3%)Among 65-74 Age Group in China(Male 3.4%,Female 2.9%)In Nepal(Male2.9%,Female 2.7%)Among 75-84 Age Group in China(Male 2.8%,Female 2.7%)in Nepal(Male 0.6%,Female 0.5%).Above 85 years in China(Male 1.1%,Female 1.1%)In Nepal(Male 0.1%,Female 0.1%)The diagnostic test for H.pylori conducted in the First Afllliated Hospital among 560 Chinese patients showed 370 postive results and 190 negative results,while the diagnostic test for H.Pylori done among 630 Nepali Patients showed that 460 positive results and 170 negative results.The Percentage of Patients having H.Pylori Positive in China is 66% while in Nepal is 73% so the Prevalence of having H.Pylori Postive in Nepali Patients is more than in Chinese Patients.The prevalence of gastric ulcer in China is higher than in Nepal(p<0.05)the difference is statistically significant),and duodenal ulcer is higher in Nepal.In the comparison of different sexes,the proportion of male patients having digestive diseases in China and Nepal was higher than that of females,but there was no significant difference(p>0.05).from this studyThe prevalence of having Digestive System Disease is more in 35-44 Age Group in Nepal,while the Prevalence of having Digestive System Disease is more in 45-54 Age Group in China.From the Gastroscopy Department of the Affiliated Hospital of Taishan Medical University,The Endoscopy Findings were :1.Esophagitis(male-58,female-47)2.Gastritis(male-432,female-261)3.Gastric Ulcer(male-483,female-280)4.Gastric Cancer(male-58,female-52)5.Duodenal Ulcer(male-44,female-42)6.Duodenitis(male-30,female-32)7.Gastro Duodenal Reflux(male-32,female-30)8.Esophageal Varies(male-57,female-62)From the Gastroscopy Department of Kathmandu Model Hospital,Kathmandu,Nepal,The Endoscopy findings were:1.Esophagitis(male-58,female-47)2.Gastritis(male-373,female-320)3.Gastric Ulcer(male-283,female-260)4.Gastric Cancer(male-58,female-72)5.Duodenal Ulcer(male-144,female-142)6.Duodenitis(male-30,female-32)7.Gastro Duodenal Reflux(male-32,female-30)8.Oesophageal Varies(male-57,female-62)Among Age Groups in China the Following Result were found15-24 age group male(110)female(111)25-34 age group male(125)female(120)35-44 age group male(120)female(132)45-54 age group male(382)female(360)55-64 age group male(141)female(120)65-74 age group male(68)female(57)75-84 age group male(56)female(55)85 + age group male(22)female(21)Among age groups in Nepal,Following Result were found15-24 age group male(126)female(128)25-34 age group male(182)female(168)35-44 age group male(295)female(268)45-54 age group male(292)female(275)55-64 age group male(66)female(65)65-74 age group male(52)female(54)75-84 age group male(12)female(10)85+ male(4)female(3)ConclusionFrom this study it is state that the Prevalence of Digestive System Disease is more in Nepal then in China.Comparing the both country Hospital Data,the prevalence of Gastric Ulcer is more in China while the prevalence of Duodenal Ulcer and Gastritis is more in Nepal.The Result showed that the prevalence of having Digestive System disease is more in male than in female in both countries.The Prevalence rate of having Digestive System Disease is more in 35-44 age group in Nepal while in China,the prevalence rate of having Digestive System Disease is more in 45-54 age group.Among H.Pylori test done in China Among 560 Chinese Patients 370 Patients were Postive Result and 190 Patients were Negetive Result,while In Nepal H.Pylori Test done among 630 Patients,460 Patients were Positive and 170 were Negetive.The Percentage of Patients having H.Pylori Positive in China is 66% while in Nepal is 73% so the Prevalence of having H.Pylori Postive in Nepali Patients is more than in China Patients.The consumption of Spicy food,Excessive alcohol intake during festivals among different ethnic group is more in Nepal are one of the major factor.There are many ethnic group in Nepal where Alchool and Spicy Food is very common,They take alchool and spicy food as their rituals.The Genetic Factor and the Family History also Effect in the Prevalence of Digestive System Disease.Chinese People are more healthier than the Nepalese people,their genetic history their food and their life style also showed that the prevalence of Digestive System Disease is less in Chinese People than compare to the Nepalese People.