scholarly journals Gall stones and dyspepsia: does upper gastrointestinal endoscopy have a pivotal role?

2019 ◽  
Vol 6 (6) ◽  
pp. 1938 ◽  
Author(s):  
Harsha Narayan ◽  
Nagaraj Ravishankar ◽  
Shivakumar Shivabasappa ◽  
Nalini Kotekar
Keyword(s):  
Incidental Finding ◽  
Gallstone Disease ◽  
Gall Stone ◽  
Management Plan ◽  
Upper Gastrointestinal Endoscopy ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Gall Stones ◽  
Dyspeptic Symptoms ◽  
Upper Gi Endoscopy

Background: Asymptomatic gallbladder stones are often diagnosed as an incidental finding. Gallstone disease is asymptomatic in most patients diagnosed to have gall stone and cholecystectomy is considered to be the treatment of choice. However, less focus has been given to patient selection and to the symptoms of this disease in order to understand prevailing symptoms after surgery. Studies suggest that approximately 25% of patients undergoing cholecystectomy will not experience relief of symptoms, and that dyspeptic symptoms are least likely to be cured by cholecystectomy. Post-cholecystectomy syndrome (PCS) consists of a group of symptoms that persist after cholecystectomy. It is defined as early if occurring in the post-operative period and late if it manifests after months or years. The objectives of the study were to emphasize the importance of endoscopic evaluation as a routine pre-operative investigative tool in patients with dyspepsia and gall stones and evaluate the prevalence of dyspeptic symptoms in patients with gall stone disease.Methods: 92 patients with USG proven gall stones presenting with dyspepsia attending OPD or admitted in surgery department (JSS Hospital) were studied. Upper GI endoscopy was performed to detect for significant lesions.Results: Most common endoscopic finding was gastritis. Malignancy was found in 3 (3.3%) patients. The management plan was changed for 9 (13.6%) patients.Conclusions: Significant endoscopic findings were observed in 72.8% of patients. Routine pre-operative upper GI endoscopy is recommended in all patients with gall-stone disease who present with dyspepsia to avoid unnecessary cholecystectomy.

scholarly journals Evaluation of 105 Cases of Dyspepsia by Upper Gastrointestinal Endoscopy and Ultrasonography of Hepatobiliary System in a Rural Setting

2019 ◽  
Vol 11 (2) ◽  
pp. 25-29
Author(s):  
Azizun Nessa ◽  
Muhammad Rabiul Hossain ◽  
Md Habibur Rahman ◽  
SM Mizanur Rahman ◽  
Abdullah Al Mamun ◽  
...  
Keyword(s):  
Functional Dyspepsia ◽  
Gastrointestinal Endoscopy ◽  
Cross Sectional Study ◽  
Upper Gastrointestinal Endoscopy ◽  
Sectional Study ◽  
Cross Sectional ◽  
Upper Gi ◽  
Dyspeptic Symptoms ◽  
Upper Gi Endoscopy ◽  
Upper Gastrointestinal

Introduction: Dyspepsia affects up to 40% of the general population and significantly reduces the quality of life. Dyspeptic symptoms may be associated with endoscopically negative conditions, such as functional dyspepsia, or with organic lesions like peptic ulcer and oesophagitis which are easily detected by endoscopy. On the other hand, such lesions may also be asymptomatic and there is not always a clear cause and effect relationship between endoscopic findings and symptoms. Objective: To determine the prevalence of significant endoscopic lesion and or ultrasonographic findings and their association with dyspeptic symptoms in Bangladeshi rural population. Materials and Methods: This prospective cross sectional study was carried out in Nov 2015 to Dec 2015 in a field mobile hospital of Bangladesh Army, established in Daudkandi, Comilla where total 1094 uninvestigated dyspeptic patients were invited to participate in this cross sectional study and 105 typical dyspeptic patients were finally recruited as per Rome III criteria. Participants underwent clinical assessment through a preformed structured questionnaire and non video upper gastrointestinal endoscopy (UGIE) and ultrasonogram (USG) of hepatobiliary system (HBS). Results: The mean age of 105 participants (male-29; female-76) studied was 36.51±7.26 years with female preponderance (72.38%). Predominant symptoms were epigastric pain (69.52%), flatulence (34.28%), heart burn (28.57%) and diffuse abdominal pain (22.85%). Regarding treatment 48(45.71%) patients took proton pump inhibitors (PPI), 24 patients (22.85%) took H2 receptor blocker and 13 patients (12.38%) were on antacids irregularly. Seventeen patients (16.15%) had no history of medications for dyspepsia. Most of the patients (76.19%) had symptoms of less than 5 years. Organic dyspepsia was found in 68(64.76%) and functional dyspepsia in 37(35.23%) participants. Percentage of functional dyspepsia in male was 24.13% and in female it was 39.47% and the difference was statistically significant (p<0.05). In the organic dyspepsia group, upper GI endoscopy revealed 07(6.66%) duodenal ulcer, 02(1.9%) gastric ulcer, 04(3.8%) prepyloric ulcer and other inflammatory lesions like prepyloric gastritis in 46(43.80%) patients, antral gastritis in 06(5.7%) patients, duodenitis in 08(7.61%) patients and erosive oesophagitis in 03 patients(2.86%). Further USG revealed cholelithiasis in 02(1.90%) and gall bladder (GB) polyp in 01(0.95%) participants which could be the reason for their dyspeptic symptoms. Thirty Seven (35.23%) participants had normal UGIE (and also normal USG of HBS) but they had significant dyspeptic symptoms. Conclusion: Most of the patients (64.76%) in this study had significant upper GI endoscopic findings and labeled as organic dyspepsia and combined use of upper GI endoscopy and USG of HBS provided better yield for aetiological diagnosis of dyspepsia if there is any. Journal of Armed Forces Medical College Bangladesh Vol.11(2) 2015: 25-29

scholarly journals Upper Gastrointestinal Endoscopy in ENT Practice: How Worth is It?

2013 ◽  
Vol 3 (2) ◽  
pp. 35-38
Author(s):  
MC Anup Kumar ◽  
Lavanya Karanam
Keyword(s):  
Prospective Study ◽  
Gastrointestinal Endoscopy ◽  
Indirect Laryngoscopy ◽  
Upper Gastrointestinal Endoscopy ◽  
Tertiary Referral ◽  
Gi Endoscopy ◽  
Tertiary Referral Center ◽  
Upper Gi ◽  
Upper Gi Endoscopy ◽  
Upper Gastrointestinal

ABSTRACT Objective The need for upper gastrointestinal (GI) endoscopy in the evaluation of hoarseness. Study design Prospective study, conducted during the period from June 2012 to February 2013. Setting Tertiary referral center. Results A total of 125 patients were selected for the study and they were evaluated with appropriate history and clinical examination. Out of 125 patients, 41 (32.8%) patients showed laryngeal findings leading to hoarseness, 13 (10.4%) patients showed features of suspected malignancy in other adjacent regions which was confirmed later, two (1.6%) patients showed phonetic gap and 69 (55.2%) patients showed normal laryngeal inlet on indirect laryngoscopy examination. Of the 69 normal patients which were treated conservatively and since they did not show any response they were subjected to upper GI endoscopy. Out of 69 patients, 41 (60%) patients showed features of gastritis, 28 (40%) patients showed features of duodenitis. Conclusion It is estimated that more than 50% of patients presenting to the ENT OPD for hoarseness are because of GI problems. We strongly advise upper GI endoscopy for the symptomatic otorhinolaryngological patients with a normal laryngeal finding on indirect laryngoscopy for treating the condition accurately or near accurately. Adding to this upper GI endoscopy has the additional advantages of documentation and medicolegal aspect in the present day scenario. How to cite this article Santosh UP, Kumar MCA, Karanam L. Upper Gastrointestinal Endoscopy in ENT Practice: How Worth is It? Int J Phonosurg Laryngol 2013;3(2):35-38.

scholarly journals Study of upper gastrointestinal endoscopy in patients with gastrointestinal symptoms

2019 ◽  
Vol 6 (10) ◽  
pp. 3595
Author(s):  
Shashidhara Puttaraju ◽  
Sudarshana Sreramaseshadri R. M.
Keyword(s):  
Gastrointestinal Endoscopy ◽  
Gastrointestinal Symptoms ◽  
Significant Risk ◽  
Upper Gastrointestinal Endoscopy ◽  
Therapeutic Tool ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Gi Symptoms ◽  
Upper Gi Endoscopy ◽  
Upper Gastrointestinal

Background: Upper gastrointestinal (GI) symptoms are the commonest complaints among the general population and the diseases associated with them carries a significant risk of morbidity and mortality. Hence early diagnosis and appropriate management of the condition can prevent life threatening complications. Upper GI endoscopy is an effective diagnostic as well as therapeutic tool for the patients presenting with upper GI symptoms. The objective of the study is to show the effectiveness of upper gastrointestinal endoscopy as an initial diagnostic, screening and therapeutic tool in patients with upper GI symptoms.Methods: Present study comprises of 100 patients presenting with upper gastrointestinal symptoms at JSS Hospital, Chamarajanagar (both out-patients and referred patients) during the period of October 2018 to June 2019, who underwent upper GI endoscopy.Results: Out of 100 patients, 60 were males and 40 were females. In the study majority of the patients were found to have gastritis, esophagitis and acid peptic disease. Other patients had malignant changes, reflux disease, hiatus hernia, perforation, foreign body, obstruction and esophageal varices.Conclusions: Upper GI endoscopy is a simple, safe, more reliable and valuable tool with easy learning curve. It will remain as the initial investigation of choice for the patients with upper GI symptoms. It plays a significant role as a screening, diagnostic as well as therapeutic tool.

scholarly journals Safety Profile and Patient Satisfaction of the Routine use of Propofol in Gastrointestinal Endoscopy

2015 ◽  
Vol 12 (2) ◽  
pp. 101-105
Author(s):  
RB Gurung ◽  
B Purbe ◽  
B Malla ◽  
A Dhungel ◽  
S Yogol ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Safety Profile ◽  
Gastrointestinal Endoscopy ◽  
Endoscopic Examination ◽  
University Hospital ◽  
Upper Gastrointestinal Endoscopy ◽  
Gi Endoscopy ◽  
Propofol Sedation ◽  
Upper Gi ◽  
Upper Gi Endoscopy

Background Routine use of sedation in upper gastrointestinal endoscopy is uncommon in Nepal. There is no study on use of propofol sedation in routine endoscopy examination in Nepal. This study was conducted in order to assess the patient satisfaction and safety profile in patient undergoing routine upper GI endoscopic examination on outpatients.Objective To study safety profile and patient satisfaction of use of propofol in patients undergoing upper GI endoscopy.Method A prospective, observational study was conducted in the endoscopy unit of Dhulikhel hospital, Kathmandu University Hospital from July 2011 to 2012 July. Patients who were referred to upper GI endoscopy were offered to sedation under propofol. Informed consent was taken after explaining side effects, advantages and risk-benefit to the clients. The propofol was administered by the endoscopy nurse under guidance and supervision of the endoscopy performing physician.Data were collected and analyzed using SPSS version 16.0 with 0.05 level of significance.Result Total of 203 patients included in the study. Among 203 patients, 21. 2% were males and 78.8% were females; 83.7% were of less than of 60 years age and 16.3% above 60 years of age. The mean total dose of propofol required was 136.08 ± 48.82 mg. Total of 29.1 % of cases required O2 administration during the procedure time due to transient drop in O2 saturation. Total of 4.4% of cases required fluid administration due to transient fall in blood pressure. Total of 68.0% of cases were completely sedated; 28.6% had minor restless and 3.4% showed agitation during induction period of propofol sedation. Total of 99.5% of patients reported pleasant experience while 0.5% reported unpleasant. Among 203 respondents, 98.5% responded they would prefer to do the procedure under propofol sedation in the future; 1.5% responded they did not want sedations in the future.Conclusion Upper GI endoscopy can safely be performed under propofol sedation administered by registered trained nurse under the supervision of endoscopist.Kathmandu University Medical Journal Vol.12(2) 2014: 101-105

scholarly journals Gastroscopic evaluation of patients with dyspeptic symptoms with incidental finding of cholelithiasis

2017 ◽  
Vol 4 (2) ◽  
pp. 677
Author(s):  
Minakshi Gadahire ◽  
Ashwin Pai ◽  
Mohan Joshi
Keyword(s):  
Teaching Hospital ◽  
Gastrointestinal Endoscopy ◽  
Gastrointestinal Disease ◽  
Incidental Finding ◽  
Endoscopic Finding ◽  
Upper Gastrointestinal Endoscopy ◽  
Upper Endoscopy ◽  
Gall Stones ◽  
Dyspeptic Symptoms ◽  
Upper Gastrointestinal

Background: Patients with dyspeptic symptoms are subjected to ultra-sonography by many practitioners and post for Cholecystectomy, if there is a finding of cholelithiasis. Many of these patients continue to have post operatively similar pain which they experienced before the cholecystectomy surgery. This made us think of doing upper gastrointestinal endoscopy to find any upper gastrointestinal disease in oesophagus, stomach or duodenum. So that if we get any positive endoscopic finding we can treat those conditions before posting the patients for cholecystectomy. Aim of the study was to study outcome of upper gastrointestinal endoscopy in patient with dyspeptic symptoms having gall stones, to evaluate whether there is any other cause of dyspepsia apart from cholelithiasis.Methods: This study was conducted at a single teaching hospital in Mumbai over a period of 3 years. Prospectively, 60 patients were studied for upper endoscopy findings associated with dyspepsia in a patient of cholelithiasis.Results: Abnormal findings of upper gastrointestinal findings on endoscopy were seen in 65% of patients.Conclusions: All Patients with dyspepsia should undergo upper gastrointestinal endoscopy before subjecting to any other radiological investigations.

scholarly journals 378 The Future Potential of Artificial Intelligence in Upper Gastrointestinal Endoscopy, A Scoping review

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
E Burke ◽  
F Awan ◽  
P Balfe
Keyword(s):  
Artificial Intelligence ◽  
Gastric Cancer ◽  
Scoping Review ◽  
English Language ◽  
Upper Gastrointestinal Endoscopy ◽  
Inclusion Criteria ◽  
Polyp Detection ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Upper Gi Endoscopy

Abstract Introduction The use of Artificial Intelligence (AI) in medicine is accelerating. Recently there have been significant advancements made in its role in upper GI endoscopy. Aim To assess current research questions exploring the use of AI in diagnosing upper GI pathology at endoscopy. Method A scoping review of studies published on PubMed over the last 5 years using the search string: (((artificial intelligence) OR AI)) AND (Gastroscopy OR OGD OR EGD OR oesophagus OR esophagus OR stomach OR Gastric) was conducted. Inclusion criteria: retrospective and prospective studies, published in the English language. Data extracted: country of origin for the research, clinical question, demographics, form of AI and study design. Results Search run on 5thof February 2020 yielded 2542 results. Articles meeting inclusion criteria numbered 25. Research originated in Japan (32%), Europe (24%), China (20%), South Korea (8%), other (16%). Clinical questions being explored included: use of AI for detecting gastric cancer, assessing depth of gastric cancer invasion, detecting early neoplasia in Barrett’s Oesophagus, real time gastric polyp detection and H.Pylori infection status. Conclusions AI use in upper GI endoscopy is being evaluated at an increasing rate. Surgeons must be ready to gain a working knowledge of this technology to safely interpret its results.

USE OF ROADMAP FLUOROSCOPY IN UPPER GI ENDOSCOPY

2020 ◽  
Author(s):  
J Weigt ◽  
W Elhossary ◽  
W Obst ◽  
P Maciej
Keyword(s):  
Gi Endoscopy ◽  
Upper Gi ◽  
Upper Gi Endoscopy

scholarly journals A comparative study of multi-detector CT portography versus endoscopy in evaluation of gastro-esophageal varices in portal hypertension patients

2020 ◽  
Vol 51 (1) ◽  
Author(s):  
Hany El-Assaly ◽  
Lamiaa I. A. Metwally ◽  
Heba Azzam ◽  
Mohamed Ibrahim Seif-Elnasr
Keyword(s):  
Portal Hypertension ◽  
Portal Vein ◽  
Esophageal Varices ◽  
Imaging Modality ◽  
Splenic Vein ◽  
Gastric Varices ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Upper Gi Endoscopy ◽  
Vein Diameter

Abstract Background Portal hypertension is a major complication resulting from obstruction of portal blood flow, like cirrhosis or portal vein thrombosis, that leads to portal hypertension. MDCT angiography has become an important tool for investigation of the liver as well as potentially challenging varices by detailing the course of these tortuous vessels. This information is decisive for liver transplantation as well as for common procedures in which an unexpected varix can cause significant bleeding. Results This study included an assessment of 60 cases of portal hypertension (28 males and 32 females), their age ranged from 42 to 69 years (mean age = 57.2 ± 6.63). All patients were diagnosed with portal hypertension, underwent upper GI endoscopy followed by a triphasic CT scan with CT angiographic assessment for the screening of gastro-esophageal varices. CT is highly sensitive as compared to upper GI endoscopy (sensitivity 93%) in detecting esophageal varices. Gastric varices detected by CT in 22 patients (37%) compared to 14 patients (23%) detected by endoscopy. While paraesophageal varices were detected in 63% of patients and retro-gastric varices in 80% of patients that were not visualized by endoscopy. Our study reported that the commonest type of collaterals were the splenic collaterals, and we also found there is a significant correlation between the portal vein diameter and the number of collaterals as well as between the portal vein diameter and splenic vein diameter. Conclusions Multi-slice CT serves as an important non-invasive imaging modality in the diagnosis of collaterals in cases of portal hypertension. CT portography can replace endoscopy in the detection of high-risk varices. It also proved that there is a correlation between portal vein diameter, splenic vein diameter, and number of collaterals.

Sign in / Sign up

Export Citation Format

Share Document