Upper Gastro Instestinal Endoscopic Findings In Patients With Dyspepsia: Our Experience At Cims, Bilaspur, Chhattisgarh, India

Abstract

Objective:Aim of the study was to evaluate Upper Gastro Intestinal endoscopic findings in patients presenting with dyspepsia and to campare with earlier studies. Material and Method:This retrospective, observational study was conducted in endoscopic unit in the Department of Medicine in chhattisgarh institute of medical sciences, fromJuly 2007 to December 2011. Adult patients with dyspepsia who underwent Upper Gastro Intestinal endoscopies where included in the studies. Patients were referred by the consultants and doctors working in the periphery for endoscopy. Endoscopies were performed as per standard protocol with diagnoses based on accepted criteria. Results: Upper Gastro Intestinal endoscopies were performed on a total of 593 patients. Patients who presented with dyspepsia were scoped. Amongst them 64.9% (n=385) were male and 35.1 %(n=208) were females. The mean age of the studied population was 41.45 years (SD +_ 15.343), most common lesion was gastritis seen in 25.1 %(n=149), esophagitis 3.5 %(n=21), gastric carcinoma 4.6% (n=27), esophageal carcinoma 3.7% (n=22), gastric ulcer 6.7% (n=40) duodenal ulcer was found in 4 %(n=24). Gastric ulcer was more common as compared to duodenal ulcer (6.7% vs. 4%).Endoscopy was normal in 40.0% (n=237) of the patients. Conclusion: Endoscopy is a very important investigative modality to identify the specific pathology in patients of dyspepsia .Gastritis; Esophagitis, Duodenitis, Duodenal ulcer,Gastric ulcer, Gastric carcinomas and esophageal carcinoma were the commonest endoscopic diagnostic findings.

Disease pattern by upper gastrointestinal endoscopy in rural areas of Tiruchirappalli district carried out at CMCH and RC Irungalur, retrospective study and comparative analysis with other contemporary studies in India

“…However, Increased incidence of 4.6% was reported by Javali et al and Khan Y et al in other regions. 4,14 The incidence of oesophageo gastric junction carcinoma in the present study was 0.3%, consistent with the study of Antony B et al was 0.5% and by Khaliq M et al was 0.2%. 3,7 The miscellaneous pathologies as in Table 1 was 5.9% which was slightly greater than the study done by Khan Y et al at 3.5% and lower than 7% reported by Khaliq M et al 7,14 …”

Mirror of upper gastrointestinal endoscopic findings in Lumbini Provincial Hospital

“…There were altogether 7 cases (3.5%) of malignancies in our study. It was higher in the study reported by Khan et al (8.7%) 20 and Shah et al (10%). 21 Overall malignancy was 2.2% in Kandem et al 22 Among malignancies gastric carcinoma was seen in 5 cases (2.5%) which was similar to the one reported by Chhetri et al (2.6%).…”

“…Taye et al showed 1.3% 19 , Khalid et al showed 1.17% 14 and Inayatullah et al showed 2%. 24 But it was higher in Khan et al 20 and Agbakwuru et al 23 Similarly it was higher in other studies from different parts of Africa and world. 22 It was in higher in Inayatullah et al 24 which was 6.7% and Ndububa et al 25 which was 6.2%.…”

“…8 This was also in concordance with similar studies reported in a different part of the world. Nikrumah et al 9 in Saudi Arabia reported gastritis in 31% while Khan et al 20 at Chhattisgarh, India which reported gastritis in 25.1%.…”

Gambaran hasil pemeriksaan endoskopi pada pasien dispepsia di Rumah Sakit Umum Pusat (RSUP) Sanglah tahun 2015

“…Pada anamnesis dapat ditemukan keluhan berupa rasa penuh pada perut yang menganggu, lebih cepat kenyang, nyeri epigastrium, dan perasaan terbakar pada area epigastrium. 7,9 Untuk menegakkan penyebab dari dispepsia, diperlukan pemeriksaan penunjang yang dapat memperlihatkan struktur dari lambung dan duodenum. Salah satu modaliyas yang dapat diandalkan adalah endoskopi.…”