对1780例无症状老年人作上消化道内镜检查,结果1769例(99.4％)的病例患有上消化道疾病。检出反流性食管炎151例(8.5％),105例患有食管裂孔疝;慢性胃炎1745例(98.6％),存在着随着年龄的增长,浅表性胃炎减少。萎缩性胃炎增多的现象(P<0.001);消化性溃疡64例(3.6％),显示了十二指肠溃疡多于胃溃疡,复合性溃疡占15.6％;胃癌24例(1.4％),早期癌占50.0％,高位胃癌占58.3％,19例施行了手术切除。 Upper gastrointestinal endoscopy was performed on 1780 asymptomatic seniors and resulted in 1769 (99.4%) cases of upper gastrointestinal disease. 151 cases (8.5%) of reflux esophagitis and 105 cases of hiatal hernia were found. 1745 cases (98.6%) of chronic gastritis were detected. There was a decrease of superficial gastritis with age. (P <0.001); peptic ulcer in 64 cases (3.6%) showed more duodenal ulcer than gastric ulcer, complex ulcer accounted for 15.6%; gastric cancer in 24 cases (1.4%), early stage Cancer accounted for 50.0%, high gastric cancer accounted for 58.3%, 19 cases were performed surgical resection.