Pattern of upper gastrointestinal diseases: an audit of 1000 cases based on endoscopic findings from a tertiary care hospital in Mysore

Background: Fibreoptic endoscopy is a highly efficient diagnostic tool, which is now increasingly being used in the diagnosis of upper gastrointestinal diseases. This study has been carried out to evaluate the distribution of various upper gastrointestinal diseases based on endoscopic findings in a tertiary care hospital in Mysore.Methods: A cross-sectional study was conducted based on data from endoscopic register of 1000 subjects who underwent endoscopy for various upper gastrointestinal symptoms from 1st January 2017 to 31st December 2017(one year).Results: Mean age of the study population was 50.23 years (SD-15.46). Minimum age was 12 years and maximum was 88 years. About 44.7% of the study subjects belonged to 40-60 age group.61.6% of the study subjects were males. Most common indication was pain abdomen (32.1%) followed by dysphagia (22.2%). Of the 1000 study subjects 18.6% had normal findings. Most common finding was Gastritis / Duodenitis /Gastric erosions (28%). Malignant lesions were noted among 11.1%, of which esophagus and stomach are 5.4% and 4.9% respectively.Conclusions: Endoscopic diagnosis is useful for early detection of UGI diseases and helpful for their management.

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A cross-sectional study to compare anesthesia techniques employed for the conduct of upper gastrointestinal endoscopic procedures in a gastroenterology suite of a tertiary care hospital

Journal of Medical Sciences ◽

10.4103/jmedsci.jmedsci_189_20 ◽

2021 ◽

Vol 41 (4) ◽

pp. 167

Author(s):

Deepak Dwivedi ◽

Saurabh Sud ◽

Puja Dudeja ◽

Bhavna Hooda ◽

Shalendra Singh ◽

...

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Endoscopic Procedures ◽

Upper Gastrointestinal

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CRANIAL ULTRASOUND IN DETECTION OF NEUROLOGICAL LESIONS IN PRETERM NEONATES IN A TERTIARY CARE HOSPITAL – A PROSPECTIVE OBSERVATIONAL STUDY.

10.36106/ijar/6300996 ◽

2020 ◽

pp. 23-25

Author(s):

Badri kumar Gupta ◽

Nand kishor Gupta ◽

Prem Yaday ◽

Sadan Mukhi

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Common Finding ◽

Preterm Neonates ◽

Cranial Ultrasound ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Cranial Ultrasonography

BACKGROUND: Incomplete formation and maturation of the central nervous system makes it extremely vulnerable to injury, in the case of premature neonates. This can result in a broad range of neurodevelopmental abnormalities. Cranial ultrasound is a sensitive tool for the early detection of these.Preterm neonates, defined as childbirth occurring at less than 37 completed weeks of gestation, is a major determinant of neonatal mortality and morbidity because of their greater risk for intraventricular hemorrhage (IVH) and hypoxic ischemic encephalopathy (HIE). The morbidity associated with preterm birth often extends to later life, resulting in enormous physical, psychological and economic costs. Currently, many imaging modalities are available like Cranial Ultrasonography, Computed Tomography and Magnetic Resonance Imaging to detect the intracranial abnormalities in these neonates. However advantages of Cranial Ultrasonography are easy availability, not expensive, easy to perform, quick, can be done at bedside, repeatable and radiation free. The aims of the study were to identify the severity of brain injuries by grading the neurosonographic findings and to correlate the clinical presentations with the neurosonographic findings. MATERIALS AND METHODS: This study is done in Department of pediatrics in Neonatal Intensive Care Unit in Universal College of Medical Sciences ,a tertiary care hospital, Bhairahawa. This cross-sectional study comprise of 60 preterm neonates, referred to Department of Radio diagnosis for cranial ultrasonogram. Ultrasound examination of the neonatal brain done through anterior fontanelle in coronal and sagittal planes within 1st week using healthcare logiq p6 pro ultrasound machine. RESULTS: In this cross-sectional study of 60 neonates, 46 were male and 14 were female. Among 60 babies, 30 (50%) showed normal study and remaining 30 (50%) showed abnormal scan. Among the cases which were abnormal on scan most common finding was GMH (33.3%) and next commonest was periventricular leucomalacia (PVL- 16.7%) noted in 10 babies. CONCLUSION: Cranial ultrasonography is the best point of care neuroimaging method available for high-risk neonates. It is critical as an investigatory modality in NICU and effectively documents morphology of cerebral damage.

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Endoscopic findings of acute upper gastrointestinal bleeding in a tertiary care hospital

Journal of Patan Academy of Health Sciences ◽

10.3126/jpahs.v2i1.20336 ◽

2015 ◽

Vol 2 (1) ◽

pp. 22-25

Author(s):

Yuba Raj Sharma ◽

Jay N Shah

Keyword(s):

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Esophageal Variceal ◽

Cross Sectional ◽

Esophageal Variceal Bleeding ◽

Endoscopic Findings ◽

Acute Upper Gastrointestinal Bleeding ◽

History Of ◽

Upper Gastrointestinal

Introduction: Acute upper gastrointestinal (UGI) bleeding is a common emergency. Prompt endoscopic diagnosis has an important role in overall management of patients. This study analyses the endoscopic findings of UGI bleeding in a tertiary care teaching hospital.Methods: This was a cross sectional study of patients with haematemesis, melaena or both who had UGI endoscopy at Patan Hospital during Nov 2009 to Dec 2010. Patient demographics, site and nature of lesions and risk factors for bleeding were analyzed.Results: There were 301 patients, male 203 (67%) female 98 (33%), age 15 to 92 years. Esophageal lesions were seen in 136 (45%), gastric 102 (34%), duodenal 46 (15%) and unidentified in 17 (7%). The lesions detected were esophageal varices in 120 (40%), duodenal ulcer in 32 (11%), Mallory-Weiss tear in 26 (9%), gastric ulcer in 18 (6%), gastric carcinoma in 17 (6%) and congestive pan-gastropathy in 16 (5%). History of drugs intake like aspirin, nonsteroidal anti-inflammatory drugs, warfarin and bisphosphonates was present in 32 (11%) patients.Conclusions: Endoscopy was diagnostic in majority (94% of 301) UGI bleeding patients. Esophageal variceal bleeding was the common cause followed by peptic ulcer.Journal of Patan Academy of Health Sciences, Vol. 2, No. 1, 2015. page: 22-25

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