Mirror of Upper Gastrointestinal Endoscopic Findings in Lumbini Provincial Hospital

Abstract

Background: Upper Gastro Intestinal (UGI) endoscopy is a common and important procedure for UGI problems. In Nepal, especially to this region, there have not been many scientific studies about the pattern of diseases seen on UGI endoscopy. This study aimed to enlist patterns of upper GI endoscopic findings done in Lumbini Provincial Hospital.
 Methods: This was a retrospective study of 200 consecutive patients who underwent UGI endos­copy from August 2017 to February 2018. Data were retrieved retrospectively from prospectively maintained data in computer-based systems and analyzed with SPSS-20.
 Results: A total of 200 patients underwent UGI Endoscopy during the study period. Among them, females were 110 (55.0%) and males were 90(45.0%). The mean age of the study population was 46.3% (SD, 17.75). The pain abdomen was the most common indication for UGI endoscopy with 166 cases (83.0%) followed by gastrointestinal bleeding with 22 cases (11.0%). Benign lesions were seen in most of the cases which include non-ulcerative lesions 117(58.5%) and ulcerative benign lesions 72(36%). Malignancies found in 7(3.5%) cases and normal findings in 4 cases.
 Conclusions: This study outlines the most common indications for upper GI endoscopy in our set up and disease patterns in those patients. This study will be helpful for an epidemiological

Endoscopic Findings of Dyspeptic Patients and H. pylori infection in patients at a Tertiary care Teaching Hospital, Nepal

“…Subedi and Shrestha [25] In this study of Helicobacter pylori infection, a positive gastric antrum biopsy result was higher in 297 (67.7%) dyspeptic patients who underwent UGI endoscopy for dyspepsia and upper abdominal pain occurred in 371 (84.5%) of 439 patients with dyspepsia. Similar findings of pain abdomen was reported from Nepal, with an incidence of 74% to 83.0% (166 cases) [6,7]. In our study inflammation of gastrointestinal system noted as gastritis 167 (38.0%), esophagitis 53 (12.1%), duodenitis 55 (12.5%), duodenal Ulcer 55 (12.5%), were seen.…”

“…Abdominal pain with dyspepsia was the main indication for UGI endoscopy in this study (83.0%). Similar findings were confirmed in different institutes and hospitals in different years [6][7][8]. Subedi and Shrestha [25] In this study of Helicobacter pylori infection, a positive gastric antrum biopsy result was higher in 297 (67.7%) dyspeptic patients who underwent UGI endoscopy for dyspepsia and upper abdominal pain occurred in 371 (84.5%) of 439 patients with dyspepsia.…”

“…Estimated one half of the world's population has H. pylori infection, higher in developing countries (up to 90%), and is a major culprit of gastro-duodenal mucosal injuries, PUD and gastric malignancy [5]. Nepal, the reported prevalence of H. pylori is 30% to 70 % [6,7]. H. pylori infection is the major culprits for causing gastro-duodenal mucosal injuries and widely known to cause gastritis and PUD.…”