Endoscopic Evaluation of Patients With Dyspepsia in a Tertiary Care Hospital: A Prospective Study

Nayak, Samir Ranjan; Rao, Ganni Bhaskara; Soren, Dillip Kumar; Appaka, Jagdish Kiran

doi:10.14260/jemds/2016/563

Cited by 2 publications

(2 citation statements)

References 13 publications

(18 reference statements)

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“…The Ileum is the most common site (60%-65%) involving small intestine lymphoma [15], as in the current study as the ileum and ileocecal regions were the sites of bowel complication. Multivariate analysis on causes of impending perforation diagnosed by CT for the intestinal B cell lymphoma patients with perforation.…”

Section: Discussionsupporting

confidence: 69%

Bowel Obstruction and Perforation in Pediatric Intestinal Mature B Cell Lymphoma: Incidence, Clinical Features, and Outcome in CCHE

Semary¹

2019

CRJ

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Bowel perforation or obstruction is life-threatening complications of intestinal lymphoma. Our aim was to define incidence, clinical features, and outcome associated with bowel perforation or obstruction in pediatric intestinal lymphoma. A retrospective, non-randomized study was included all newly diagnosed pediatric intestinal mature B cell lymphoma patients who were operated out of intestinal obstruction or perforation from July 2007 till July 2017 in CCHE. The results showed that, intestinal obstruction or perforation developed in 34 patients (7.5%) out of 456 patients with intestinal mature B cell lymphoma. Median age is 4.85 years. All of them were treated accordingly to NHL LMB 96 protocol [1]. The 5 years OS among patients were operated out of intestinal obstruction, and who were operated out of perforation were 87.7%, 62.9% respectively with no significant statistical differences. Five years OS among patients with viable malignant cell versus no malignant cell was 65.2%, 90.9% respectively with significant P value. The five years OS for patients didn't have surgery, and who had surgery was 87.9%, 78.6%, respectively, with no significant statistical differences. Multivariate analysis on EFS and OS was done for the overall group and the subgroup. Including age, sex, pathology, clinical stage, elevated LDH, presence of ATLS, showed statically no significance. In Conclusion, Intestinal complication in the form of obstruction with or without intussusception, or obstruction perforation followed by exploration is not adverse prognostic factor for survival in pediatric patients with intestinal mature B cell lymphoma. Operation with viable malignant cell was associated with significant lower outcome.

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Section: Discussionsupporting

confidence: 69%

Bowel Obstruction and Perforation in Pediatric Intestinal Mature B Cell Lymphoma: Incidence, Clinical Features, and Outcome in CCHE

Semary¹

2019

CRJ

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“…Environmental factors, including lifestyle choices, pollution, and occupational hazards, are critical in developing UGIB among racial and ethnic groups. Alcohol consumption is a significant factor in UGIB, particularly in Hispanics, and a diet high in spicy foods is also a contributing factor [ 36 ]. Occupational exposure to chemicals and pesticides can increase the risk of UGIB among specific populations [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Healthcare Disparities and Upper Gastrointestinal Bleeding: Exploring the Linkages

Rammohan¹,

Joy²,

Saggar³

et al. 2023

Cureus

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Introduction Upper gastrointestinal bleeding (UGIB) refers to blood loss from a gastrointestinal (GI) source proximal or above the ligament of Treitz. Health equity means giving everyone an equal chance to achieve optimal health by addressing injustices, overcoming barriers, and eliminating health disparities. Healthcare providers must analyze racial and ethnic disparities in UGIB management to ensure all patients receive equal care. Identifying risk factors in specific populations leads to tailored interventions that improve outcomes. Our study aims to examine trends and identify disparities in upper gastrointestinal bleeding across races and ethnicities to promote health equity. Methods Retrospective data on upper gastrointestinal bleeding from June 2009 to June 2022 were collected and categorized into five groups based on race. The baseline characteristics of each group were matched to ensure equitable comparison. A joinpoint regression model was used to compare incidence trends, identifying potential healthcare disparities for different racial/ethnic groups over time. Patients aged 18-75 who suffered from upper gastrointestinal bleeding at Nassau University Medical Center in New York from 2010 to 2021 were selected, excluding those with incomplete baseline comorbidity information. Results This study examined 5103 cases of upper gastrointestinal bleeding, with 41.9% female. The cohort was diverse, with 29.4% African American, 15.6% Hispanic, 45.3% White, 6.8% Asian, and 2.9% of other races. Data were split into two groups; 49.9% occurred between 2009 and 2015 and 50.1% between 2016 and 2022. Findings showed increased UGIB among Hispanics and decreased bleeding among Asians during 2016-2021 compared to 2009-2015. However, no significant difference was found for African Americans, Whites, and other races. In addition, Hispanics had a rise in the annual percentage change (APC) rate, whereas Asians had a decrease. Conclusion Our study examined trends in upper gastrointestinal bleeding and potential healthcare disparities across races and ethnicities. Our findings highlight an increased incidence of UGIB in Hispanics and a decreased incidence in Asians. Additionally, we identified a significant increase in the annual percentage change rate in Hispanics and a decrease in Asians over time. Our study underscores the importance of identifying and addressing disparities in UGIB management to promote health equity. Future research can build on these findings to develop tailored interventions that improve patient outcomes.

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Endoscopic Evaluation of Patients With Dyspepsia in a Tertiary Care Hospital: A Prospective Study

Abstract: BACKGROUNDDyspepsia is a common presentation among the individuals attending the medical or surgical outpatient department to the general hospitals. The dietary habits, food pattern, socioeconomic status made the symptoms of dyspepsia more prevalent in rural and semi-urban areas.

Cited by 2 publications

References 13 publications

Bowel Obstruction and Perforation in Pediatric Intestinal Mature B Cell Lymphoma: Incidence, Clinical Features, and Outcome in CCHE

Bowel Obstruction and Perforation in Pediatric Intestinal Mature B Cell Lymphoma: Incidence, Clinical Features, and Outcome in CCHE

Healthcare Disparities and Upper Gastrointestinal Bleeding: Exploring the Linkages

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