Endoscopic Evaluation of Gastroesophageal Reflux Disease
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 2
Abstract
Gastroesophageal reflux disease is a common cause of upper esophageal complains. This study was conducted to find out clinical presentation and endoscopic finding in Gastroesophageal reflux disease patients and correlation of endoscopic finding with clinical severity. Material and methods: It was cross sectional study. Total 75 patients were included in this study. Endoscopy was done in all cases with symptoms of GERD at least 2 symptoms greater than 1 month duration with flexible Fujinon fibreoptic endoscope and were graded according to severity and grade of esophagitis as per Los Angeles classification. Results: Results of our study show that gastroesophageal reflux disease was more common in the age group 31-40years (24% cases). Mean age of patients in our study was 38.06yrs. The male to female ratio in cases was 1.08:1. Heartburn (93.33%) and regurgitation (82.66%) were the most frequent symptoms followed by water brash (33.3%) and dysphagia (28%) in GERD. In our study we found a positive correlation between gastroesophageal reflux disease and obesity. Erosive gastritis was found in 36 total patients (48%) and non erosive esophagitis was found in 31patients (41.33%). Gastroesophageal reflux disease showed a high prevalence of taking tea or coffee drinking (97.33%) and spicy diet (82.66%) while in males high percentage associated with smoking (92.3%). Conclusion: The present study finds that erosive gastritis in patients with GERD is increasing in Indian population as compared to previous studies. So awareness with regards to symptoms as well a use of upper gastrointestinal endoscopy in suspected cases will detect esophagitis at an earlier stage and also prevent long term complication of GERD
Authors and Affiliations
J. Punekar, P. Punekar, Manoj K. Malav, Kalpana Chate
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