Analysis of upper gastro intestinal scopy finding in public hospital associated with medical college
DOI:
https://doi.org/10.18203/2349-2902.isj20163495Keywords:
Day care procedure, Diagnostic yield, Upper gastro intestinal scopyAbstract
Background: Upper gastro intestinal scopy is common indication in patients of upper gastrointestinal complaints with normal ultra sonography /CT abdomen. Upper gastrointestinal pathology up to second part of duodenum is easily diagnosed by upper gastro intestinal scopy. An objective of the study was to find out cause of upper gastrointestinal discomfort in study group with diagnostic yield and correlation with clinical profile.
Methods: Prospective observational cross sectional study was done of all the age group patients and either gender, presented with upper gastrointestinal discomfort in the surgical OPD and undergone upper gastrointestinal scopy at our institute.
Results: Commonest finding in upper gastrointestinal scopy was chronic gastritis, duodenitis, gastritis with lax oesophageal sphincter, duodenal ulcer. Patients with dyspepsia undergone upper gastrointestinal scopy have 90% positive finding. Total patient 154 have undergone upper gastrointestinal scopy with 81% positive finding.
Conclusions: In our study, dyspepsia was most common indication for upper gastrointestinal scopy. In our study, a highest finding was chronic gastritis in 46 patients and duodenitis in 34 patients. This finding was similar to other study. In our study, most common appropriate indication with highest positive finding is acid peptic disease and least positive finding is vague upper abdominal discomfort.
References
Al-Quorain A, Satti MB, Al-Hamdan A, Al-Gassab G, Al-Freihi H, Al-Gindan Y. Pattern of upper gastrointestinal disease in the eastern province of Saudi Arabia: Endoscopic evaluation of 2982 patients. Trop Geogr Med. 1991;43:203-8.
Hamo IM. Esophageal disease in Sudan diagnosed by fiberoptic endoscopy. Trop Geogr Med. 1993;45:22-4.
Johnsson F, Joelsson B, Gudmundsson K, Greiff L. Symptoms and endoscopic findings in the diagnosis of gastroesophageal reflux disease. Scand J Gastroenterol. 1987;22(6):714-8.
Ayoola EA, Al-Rashed RS, Al-Mofleh IA, Al-Faleh FZ, Laajam M. Diagnostic yield of upper gastrointestinal endoscopy in relation to age and gender: a study of 10112 Saudi patients : Hepatogastroenterology. 1996;43(8):409-15.
Gonvers JJ, Burnand B, Froehlich F, Pache I, Thorens J, Fried M, et al. Appropriateness and diagnostic yield of upper gastrointestinal endoscopy in an open-access endoscopy unit. Endoscopy. 1996;28(8):661-6.
Emmanuel Jeje, Thomas Olajide, Bashir Akande. Upper gastrointestinal endoscopy - our findings, our experience in Lagoon Hospital, Lagos, Nigeria. Macedonian J Med Sci. 2013;6(2):168-73.
Al-Quorain A, Satti MB, Al-Hamdan A, Al-Ghassab G, Al-Freihi H, Al-Gindan Y. Pattern of upper gastrointestinal disease in the eastern province of Saudi Arabia. Trop Geogr Med. 1991;43(1-2):203-8.
Mangualde J, Cremers MI, Vieira AM, Freire R, Gamito E, Lobato C, et al. Appropriateness of outpatient gastrointestinal endoscopy in a non-academic hospital. World J Gastrointest Endosc. 2011;3(10):195-200.
Chan YM, Goh KL. Appropriateness and diagnostic yield of EGD: a prospective study in a large Asian hospital. Gastrointest Endosc. 2004;59(4):517-24.
