Clinical Profile and Oesophago- Gastro- Duodenal Endoscopic Findings in Elderly
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 12
Abstract
Abstract: The endoscopic procedures are becoming widely available all over the world. The level of expertise needed for endoscopy has also risen significantly. As a result, the number of endoscopic procedures has increased in countries like India. Among the patients undergoing endoscopic investigations and therapy, the patients of age 60 years and above are very high in numbers. The indications range from very much benign to malignant diseases. This study focuses on the elderly patients i.e. patients, more than 60 years of age, who underwent the Oesophago-gastro-duodenoscopy (OGD scopy) for various indications. Total of 198 patients were enrolled by serial recruitment in this observational study, out of which 134 were males and 64 were females. Addictions were found in 71 of these patients, in the form of either tobacco use or alcoholism or both. Most common indications for OGD scopy in our study were hematemesis, dyspepsia and dysphagia. Other indications being anaemia, splenomegaly, chronic abdominal pain ect. Most common cause for hematemesis in our study was Oesophageal varices i.e. 37. Portal gastropathy was seen in 27 patients. Gastric Antral Vascular Ectasia (GAVE) was seen in 5 patients Gastric and/or duodenal ulcers were found in 25 patients. The most frequent cause for dysphagia was oesophagitis. In endoscopic findings, gastritis was the most common. Maximum number of patients was having antral gastritis. Twenty-five patients with peptic ulceration underwent Rapid Urease Test (RUT) for the diagnosis of H. pylori infection and 16 out of them showed positive results.
Authors and Affiliations
Dhananjay V. Ogale, Nagnath K. Redewad, S. V. Pawar, S. A. Sangle
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