DOI: http://dx.doi.org/10.18203/2349-3933.ijam20193254

Endoscopic findings in uninvestigated dyspepsia patients

Thyagaraja K., Venkatakrishna Bhat S., Stephan Benny

Abstract


Background: Dyspepsia is a frequent syndrome in our country where there are limitations for endoscopy and there is high burden of H. pylori infection. It is important to establish the causes of dyspepsia hence therapeutic approach will be easier. Aim of the study was to find out the common endoscopic findings in a patient with dyspepsia symptoms large tertiary care hospital.

Methods: A cross-sectional study was conducted on 184 patients either admitted or seen on outpatient basis at the Basaveswara medical college and research institute, Chitradurga with the upper GI symptom dyspepsia and the data was analysed using appropriate statistical methods.

Results: Out of 184 patients who underwent Esophagogastroduodenoscopy (EGD scopy) 62% were male and 61% were 31-59year old. The common pathological findings in dyspeptic patients were gastritis and esophagitis.

Conclusions: The following insights/observations were made during the course of this study→ dyspepsia is usually caused by H. pylori gastritis, eradication of which relieves the symptom in this observation. Many a times dyspepsia found to have normal study. Hence wise referral for endoscopy is a key in resource limited setup.


Keywords


Dyspepsia, Esophagogastroduodenoscopy, Gastritis, H. pylori

Full Text:

PDF

References


Jones RH, Lydeard SE, Hobbs FD, Kenkre JE, Williams EI, Jones SJ, et al. Dyspepsia in England and Scotland. Gut. 1990;31(4):401-5.

Amini E, Keshteli AH, Jazi MS, Jahangiri P, Adibi P. Dyspepsia in Iran: SEPAHAN systematic review No. 3. Int J Prev Med. 2012;3(Suppl1):S18.

Penston JG, Pounder RE. A survey of dyspepsia in Great Britain. Aliment Pharmacol Ther. 1996;10(1):83-9.

Grainger SL, Klass HJ, Rake MO, Williams JG. Prevalence of dyspepsia: the epidemiology of overlapping symptoms. Postgrad Med J. 1994;70(821):154-61.

Kiran S, Bhat VS. An Audit of more than a Thousand upper gastrointestinal Endoscopy in a Tertiary Care Teaching Hospital in South India. Gastroenterol Hepatol Int J. 2019;4(1):000149.

Ford AC, Marwaha A, Lim A, Moayyedi P. What is the prevalence of clinically significant endoscopic findings in subjects with dyspepsia? Systematic review and meta-analysis. Clin Gastroenterol Hepatol. 2010;8(10):830-7.

Erichsen R, Robertson D, Farkas DK, Pedersen L, Pohl H, Baron JA, et al. Erosive reflux disease increases risk for esophageal adenocarcinoma, compared with nonerosive reflux. Clin Gastroenterol Hepatol.2012;10(5):475-80.

Rolff HC, Simonsen LR, Rosenberg J. Clinical findings confirm national guidelines regarding primary gastroscopy for upper gastrointestinal symptoms. Dan Med Bull. 2011;58(5):A4363.

Faintuch JJ, Silva FM, Eisig JN. Endoscopic findings in uninvestigated dyspepsia. BMC Gastroenterol.2014;14(1):19.

Marques SB, Mattar R, Artifon E. High prevalence of duodenal ulcer in a tertiary care hospital in the city of Sao Paulo, SP, Brazil. Arq Gastroenterol. 2011;48(3):171-4.

Khan KL, Kosecoff J, chassin MR, Solomon DH, Brook RH. The use and misuse of GI endoscopy. Aun Infern Med.1988;109(8):664-70.