A Study of age wise distribution of various upper GI endoscopic findings at tertiary health care center
Journal Title: Medpulse International Journal of Surgery - Year 2017, Vol 4, Issue 2
Abstract
Background: Dysphagia is a Greek word and means disordered eating. Dysphagia typically refers to difficulty in eating as a result of disruption in the swallowing process. Aims and Objectives: Study of age wise distribution of various upper GI endoscopic findings at tertiary health care center. Methodology: A cross-sectional study was undertaken at Surgery department of Vinayaka Missions Medical College Hospital, Salem on 100 patients with complaints of chronic abdominal or epigastric pain and willing to undergo upper GI endoscopy. The patient was kept nothing by mouth for 4-6 hours. Pharyngeal anesthesia to blunt the gag reflex was done by using 5% lidocaine spray.Intravenous sedation was given in selected cases using Inj midazolam. The patient’s vitals were monitored closely during the procedure. During the endoscopy, the patient was monitored according to analgesia and sedation guidelines formulated by American society of Anaesthesiology. Result: Majority of the study subjects were in the age group between 40 – 80 years and the mean age was 51.64 years. 36% of the subjects had normal report in the upper GI endoscopy. The major finding (24%) in the upper GI endoscopy was reflux oesophagitis followed by oesophageal stricture which was detected in 12% and 8% of them had the finding of antro-pyloric gastritis. During the upper GI endoscopy biopsy specimen was taken for 8 patients for whom gastric or oesophageal carcinoma was suspected and it was sent for histo-pathological examination. Endoscopy was normal for most of the patients in the younger age group, strictures and oesophagitis are more common in the middle age and antropyloric gastritis and carcinoma of stomach or oesophagus is more common in the old age and this association was found to be statistically significant (p<0.05). Conclusion: It can be concluded from our study that the majority of the patients were in the range of 40-80 yrs. The major finding in the upper GI endoscopy was reflux oesophagitis followed by oesophageal stricture. In the younger age group, strictures and oesophagitis are more common in the middle age and antropyloric gastritis and carcinoma of stomach or oesophagus is more common in the old age.
Authors and Affiliations
Prashant Harsur, Vijaykrishna Patil
Keywords
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