Appropriateness of indications for diagnostic upper gastrointestinal endoscopy: Association with relevant endoscopic disease

Adang, Rob P.; Vismans, Jon F-J.F.E.; Talmon, Jan L.; Hasman, Arie; Ambergen, A.W.; Stockbrügger, Reinhold W.

doi:10.1016/s0016-5107(95)70037-4

Cited by 80 publications

(59 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is similar to studies conducted in the developing world especially in the African countries which have reported esophageal varices as the major cause of UGIB 7,8,12,13 . but contrary to the findings of most western studies where peptic ulcer disease has been identified as the commonest cause of UGIB 5,6,8,9 . This discrepancy may be because of the high prevalence of chronic liver disease as a result of the endemic nature of hepatitis B infection and schistosomiasis in northern part of Uganda and other African countries.…”

Section: Discussioncontrasting

confidence: 62%

“…Early aggressive resuscitation of a hemodynamically unstable patient can reduce mortality in acute UGIB 4 The effective treatment depends on identification of the source of the bleeding and expeditious administration of therapy 5 . Upper gastrointestinal endoscopy is the preferred investigative procedure for UGIB because of its accuracy, low rate of complication, and its potential also for therapeutic interventions 3,6 This study was carried out to evaluate the endoscopic findings in patients presenting with UGIB and its frequency among these patients according to gender and age.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Endoscopic findings in upper gastrointestinal bleeding patients at Lacor hospital, northern Uganda

Alema¹,

Martin²,

Okello³

2013

Af Hlth Sci

View full text Add to dashboard Cite

Background: Upper gastrointestinal bleeding (UGIB) is a common emergency medical condition that may require hospitalization and resuscitation, and results in high patient morbidity. Upper gastrointestinal endoscopy is the preferred investigative procedure for UGIB because of its accuracy, low rate of complication, and its potential for therapeutic interventions. Objective: To determine the endoscopic findings in patients presenting with UGIB and its frequency among these patients according to gender and age in Lacor hospital, northern Uganda. Methods: The study was carried out at Lacor hospital, located at northern part of Uganda. The record of 224 patients who underwent endoscopy for upper gastrointestinal bleeding over a period of 5 years between January 2006 and December 2010 were retrospectively analyzed. Results: A total of 224 patients had endoscopy for UGIB which consisted of 113 (50.4%) males and 111 (49.6%) females, and the mean age was 42 years ± SD 15.88. The commonest cause of UGIB was esophagealvarices consisting of 40.6%, followed by esophagitis (14.7%), gastritis (12.6%) and peptic ulcer disease (duodenal and gastric ulcers) was 6.2%. The malignant conditions (gastric and esophageal cancers) contributed to 2.6%. Other less frequent causes of UGIB were hiatus hernia (1.8), duodenitis (0.9%), others-gastric polyp (0.4%). Normal endoscopic finding was 16.1% in patients who had UGIB Conclusions: Esophageal varices are the commonest cause of upper gastrointestinal bleeding in this environment as compared to the west which is mainly peptic ulcer disease.

show abstract

Section: Discussioncontrasting

confidence: 62%

Section: Introductionmentioning

confidence: 99%

Endoscopic findings in upper gastrointestinal bleeding patients at Lacor hospital, northern Uganda

Alema¹,

Martin²,

Okello³

2013

Af Hlth Sci

View full text Add to dashboard Cite

show abstract

“…5,6,8,9 These differences may be due to high prevalence of chronic hepatitis and cirrhosis of liver in our population. Hepatitis B is the cause of acute viral hepatitis in approximately one third of cases.…”

Section: Discussionmentioning

confidence: 87%

“…4,5 The investigation and treatment modality of choice is upper gastrointestinal endoscopy because of its affordability and accuracy in picking up various lesions. 3,6 This study was carried out to evaluate the endoscopic findings in patients presenting with UGIB and its frequency among these patients according to gender and age.…”

Section: Introductionmentioning

confidence: 99%

Upper Gastrointestinal Bleeding; Endoscopic Findings in Patients

Ather¹,

Sarfraz

Zikarya³

2017

TPMJ

View full text Add to dashboard Cite

ABSTRACT… Background: Upper gastrointestinal bleeding (UGIB) is a common medical condition requiring mostly hospitalization and resuscitation. Patients with upper GI bleeding have high morbidity. The investigation of choice in upper GI bleeding is upper GI endoscopy, because endoscopy has good, the complication rate with endoscopy are low, another advantage of using endoscopy is therapeutic interventions as well. The causes of upper GI bleeding are numerous most frequent causes being in decreasing order of frequency peptic ulcer, esophageal varices, mallory-weis tears. Other causes include tumors, erosions and arterio-venous malformations.3 Objectives: To determine the endoscopic findings in patients presenting with UGIB and frequency of various findings among these patients according to gender and age in medical ward of Allied Hospital Faisalabad. Study Design: Retrospectively reviewed and analyzed. Setting: Medical Unit 2 of Allied Hospital Faisalabad. Period: 06 month between January 2015 to June 2015. Methods: The record of 120 patients who underwent endoscopy for upper gastrointestinal bleeding. Results: Data was collected and entered on SPSS. Statistical data analysis was performed with chi-square. Statistical significance was determined at P< 0.05. Information obtained from upper gastrointestinal endoscopy were then recorded according to age, gender and presented in form of tables. Conclusions: It has been found that esophageal varices was the most commonest cause of upper gastrointestinal bleeding in the study probably due to the high prevalence of hepatitis infection and chronic liver disease in our population. Key words:Upper gastrointestinal bleeding (UGIB), Esophageal varices, Fundal varices.

show abstract

“…Flexible laryngoscopy is particularly useful for the evaluation of a patient complaining of oropharyngeal dysphagia, easily identifying any masses, lesions, or hypopharyngeal pooling of secretions or food. 22,23 A barium study is relatively inexpensive with few complications and can assess esophageal motility as well as obstruction. 24 Any masses or lesions identified by barium study should be evaluated and possibly biopsied by gastroesophageal endoscopy.…”

Section: -21mentioning

confidence: 99%

Foramen Magnum Meningioma: Dysphagia of Atypical Etiology

et al. 2007

View full text Add to dashboard Cite

INTRODUCTION:We present a case of a foramen magnum meningioma that highlights the importance of the neurologic exam when evaluating a patient with dysphagia. A 58-year-old woman presented with an 18-month history of progressive dysphagia, chronic cough and 30-pound weight loss. Prior gastroenterologic and laryngologic workup was unrevealing.RESULTS: Her neurologic examination revealed an absent gag reflex, decreased sensation to light touch on bilateral distal extremities, hyperreflexia, and tandem gait instability. Repeat esophagogastroduodenoscopy was normal, whereas laryngoscopy and video fluoroscopy revealed marked hypopharyngeal dysfunction. Brain magnetic resonance imaging demonstrated a 3.1×2.7×2.9 cm foramen magnum mass consistent with meningioma. The patient underwent neurosurgical resection of her mass with near complete resolution of her neurologic symptoms. Pathology confirmed diagnosis of a WHO grade I meningothelial meningioma.CONCLUSION: CNS pathology is an uncommon but impressive cause of dysphagia. Our case demonstrates the importance of a thorough neurologic survey when evaluating such a patient.KEY WORDS: dysphagia; meningioma; foramen magnum.

show abstract

Appropriateness of indications for diagnostic upper gastrointestinal endoscopy: Association with relevant endoscopic disease

Cited by 80 publications

References 28 publications

Endoscopic findings in upper gastrointestinal bleeding patients at Lacor hospital, northern Uganda

Endoscopic findings in upper gastrointestinal bleeding patients at Lacor hospital, northern Uganda

Upper Gastrointestinal Bleeding; Endoscopic Findings in Patients

Foramen Magnum Meningioma: Dysphagia of Atypical Etiology

Contact Info

Product

Resources

About