scholarly journals Upper gastro-intestinal endoscopy prior to cholecystectomy, a necessity? an observational study in a tertiary care hospital in South India

2019 ◽  
Vol 6 (3) ◽  
pp. 686
Author(s):  
B. N. Anandaravi ◽  
Faiyaz Abdul Jabbar

Background: Cholelithiasis is the most common disease state involving the gallbladder and the biliary tree. Once the USG is reported as cholelithiasis, the patient is usually taken up for cholecystectomy. The patients with cholelithiasis usually present with upper gastro intestinal (UGI) symptoms which may also be attributed to other UGI pathologies. This study focuses on evaluating upper GI endoscopy as an investigative modality to diagnose other associated upper GI pathologies in patients with USG proven gallstones presenting with dyspeptic symptoms.Methods: An observational study was undertaken over a span of 2 years, from June 2016 to May 2018. All the patients who presented with complaints of upper GI symptoms were subjected to undergo USG abdomen. The patients with positive USG findings for cholelithiasis were included and further evaluated by upper GI endoscopy.Results: Out of 100 subjects evaluated during the study period, 58 were females and 42 males. The most common presenting symptom was heartburn (69%), followed by dyspepsia (58%), belching (56%) and nausea/vomiting (53%). Out of 100 patients 44 patients presented with biliary colic and nausea/vomiting (14%). 44 of the subjects were found to have normal mucosal study. Remaining 66% of the subjects had positive endoscopic findings. The most common endoscopic finding was gastro-esophageal-reflux-disease (GERD) (31%).Conclusions: In this study it was found that 66% of the subjects had co-existing UGI pathologies. It is advisable to get UGI endoscopy routinely for patients being planned for cholecystectomy pre-operatively.

2021 ◽  
Vol 15 (11) ◽  
pp. 3064-3065
Author(s):  
F Mohyud Din Ch. ◽  
M. Asif Gul ◽  
Rizwan Hameed ◽  
Muhammad Ilyas ◽  
Muhammad Zubair ◽  
...  

Introduction: Endoscopy has become a necessity in diagnosing gastrointestinal (GI) disorders. The objective of our study was to evaluate the different indications and findings of upper GI endoscopy. Methods: This retrospective analysis was undertaken at department of Gastroenterology, Nishtar Hospital Multan. Records of all upper GI endoscopic procedures from 1st January 2018 till 31st December 2020 were evaluated. Results: A total 3299 upper GI endoscopic procedures were perfumed during the three-year time period. Mean age was 47 years. Majority of patients were males. Almost 48% of patients belonged to the middle-aged group. The most common indication was upper GI bleeding (57%), followed by dyspepsia (15%). The most common finding was esophageal varices (43%), followed by portal gastropathy (26%) and gastritis (16%). Conclusion: This study concludes that the majority of endoscopies are being undertaken as a result of complications of cirrhosis and portal hypertension. Keywords: Endoscopy, audit, indications, findings


2021 ◽  
Author(s):  
Farooq Mohyud Din Chaudhary ◽  
Muhammad Asif Gul ◽  
Rizwan Hameed ◽  
Muhammad Ilyas ◽  
Muhammad Zubair ◽  
...  

Introduction: Endoscopy has become a necessity in diagnosing gastrointestinal (GI) disorders. The objective of our study was to evaluate the different indications and findings of upper GI endoscopy. Methods: This retrospective analysis was undertaken at department of Gastroenterology, Nishtar Hospital Multan. Records of all upper GI endoscopic procedures from 1st January 2018 till 31st December 2020 were evaluated. Results: A total 3299 upper GI endoscopic procedures were perfumed during the three-year time period. Mean age was 47 years. Majority of patients were males. Almost 48% of patients belonged to the middle-aged group. The most common indication was upper GI bleeding (57%), followed by dyspepsia (15%). The most common finding was esophageal varices (43%), followed by portal gastropathy (26%) and gastritis (16%). Conclusion: This study concludes that the majority of endoscopies are being undertaken as a result of complications of cirrhosis and portal hypertension.


2021 ◽  
pp. 17-18
Author(s):  
Sreekala K N ◽  
Cinthya C Das

This was a case control study conducted in a tertiary care hospital in Kerala to nd out the factors that can cause GERD among 138 subjects after getting Institutional Ethics Committee permission and Informed consent from the subjects. Data was collected with the help of questionnaire and also from the medical records. Data was analysed in the SPSS software; proportions and Odds ratio with 95% condence interval were calculated. Pan chewing and Hypercholesterolemia were found to be associated with GERD and 24% of the patients had Barrett’s esophagus on upper GI endoscopy


Author(s):  
Jisy S. Raghavan ◽  
Sharim Fathima ◽  
Suhaiba Ameera ◽  
Kunnummal Muhammed

<p class="abstract"><strong>Background:</strong> Acne is one of the most common disease affecting adolescence. Although prior studies have evaluated epidemiologic patterns of acne in different ethnicities and regions, literature is lacking from this part of the country. The objectives of the study were to delineate the clinical and epidemiological profile of acne vulgaris in a population from northern Kerala in South India.</p><p class="abstract"><strong>Methods:</strong> The study was carried out for 6 months and it included 100 patients. Epidemiology including pattern, aggravating factors, seasonal variation, diet, smoking, markers of androgenecity and associations were evaluated in all newly diagnosed cases of acne vulgaris who attended the outpatient department in Kannur Medical College, Kannur, Kerala, India from January 2018 to June 2018.<strong></strong></p><p class="abstract"><strong>Results:</strong> Out of 100 patients females (74%) outnumbered males (26%) and although the majority affected belonged to the age group of 21-25 years (38%), adult acne was observed in 28%. Grade 3 acne was the commonest (44%), followed by grade 2 (30%) and grade 4 (18%). Face was affected in all patients with cheeks (91%), followed by forehead (72%), mandible (36%) and chin (28%) and trunk (23%). Scarring was found in 34% and pigmentation in 40%. Family history of acne was observed in 33%.</p><p class="abstract"><strong>Conclusions:</strong> This study brings out the clinical profile of acne in a tertiary care hospital in South India.</p>


2008 ◽  
Vol 15 (04) ◽  
pp. 465-468
Author(s):  
MOAZZAM ALI ATIF ◽  
IRFAN AHMAD

. Objectives To document the frequency of esophageal varices and their importance in a tertiary care hospital of SouthernPunjab. Design: Observational. Setting: Endoscopy unit of Sheikh Zayed Medical College/Hospital. Period: From Nov 2005 to May 2007.Materials & Methods The data of 500 patients who underwent upper GI endoscopy was analyzed. Demographic features, reasons for referraland endoscopic diagnoses were noted. Results: Among 500 patients, 57% were referred due to upper GI bleeding, 9% due to dysphagia, 8%due to persistent vomiting and 7% due to dyspeptic symptoms. Common endoscopic diagnoses were esophageal varices (44%). Conclusion:Major Endoscopic finding in our study was esophageal varices. Gastric or duodenal ulcers, congestive gastropathy, obstructive lesions ofesophagus and stomach were the next most common observations.


2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Siri Kratter Abrahamsen ◽  
Cathrine Nødtvedt Haugen ◽  
Priscilla Rupali ◽  
Dilip Mathai ◽  
Nina Langeland ◽  
...  

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