STUDY ON ENDOSCOPIC FINDINGS IN UPPER GASTROINTESTINAL PATHOLOGY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 30
Abstract
BACKGROUND Upper gastrointestinal bleeding (UGIB) and upper gastrointestinal pathologies are common emergency medical conditions that may require hospitalization and resuscitation. It results in high patient morbidity. Upper gastrointestinal endoscopy is the preferred investigative procedure for UGIB because of its accuracy, low rate of complication, and its potential for therapeutic interventions.1 We wanted to document various endoscopic findings in patients undergoing upper gastrointestinal endoscopy. METHODS This is a prospective study and was conducted in the Department of General Surgery of Hi-Tech Medical College and Hospital, Bhubaneshwar. All adult patients with upper GI symptoms attending the Surgery OPD and admitted in the hospital (HMCH) were selected. Study also included patients referred from Medicine, ENT and other departments with complaints of dyspepsia, dysphagia and alarm symptoms. RESULTS In our study, 76 (38%) patients had significant endoscopic findings in stomach; most common diagnosis was gastritis and was seen in 59 (30%). Most of the patients were in the age group of 18-40 years i.e. 44 (22%). Other findings were gastric ulcer in 6 (3%), growth in 3 (2%) and few other findings like portal gastropathy, fundic varices and foreign body in 8 (4%) cases. CONCLUSIONS Upper GI endoscopy should be advised as the first line of investigation for upper GI symptoms especially in the age group of 18-45 years. Upper GI endoscopy is the preferred investigative tool to diagnose GERD. However, 24-hour pH monitoring is also required. Superficial mucosal lesions like gastritis, peptic ulcer disease can be diagnosed with certainity only by upper GI endoscopy. Carcinoma of oesophagus and stomach can be diagnosed histopathologically only by this method. But for staging, other investigative modalities are required. Therapeutic procedures like banding, polypectomy are possible by this method and are comparatively risk free.
Authors and Affiliations
Biranchi Narayan Lenka, Sai Bharat Sunkara, Treena Minz, Saikh Kasif Sahajada, Depika Rout
Keywords
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- EP ID EP670363
- DOI 10.18410/jebmh/2019/413
- Views 77
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