scholarly journals Three year experience of Upper Gastrointestinal Endoscopic procedures at a tertiary care hospital of South Punjab

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.


2018 ◽  
Vol 5 (7) ◽  
pp. 2412
Author(s):  
Shashikumar H. B. ◽  
Madhu B. S. ◽  
Motati Harshini

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.


2020 ◽  
Vol 7 (3) ◽  
pp. 791
Author(s):  
Keyur Suryakant Patel ◽  
Prabhat B. Nichkaode ◽  
Sunil V. Panchabhai ◽  
Manichandra Reddy ◽  
Balaji Prathep Santhan ◽  
...  

Background: The upper gastrointestinal tract is affected by a spectrum of conditions which span from infectious, idiopathic, inflammatory diseases, polyps, motility disorders and malignancy. Upper gastrointestinal scopy is believed to be the most effective screening modality as it not only allows direct visualization of oesophagus, gastric and duodenal mucosa but to perform biopsies in suspected malignancies. Aim: To evaluate persistent upper abdominal pain by upper gastrointestinal scopy.Methods: A total of 100 patients presented with complains of persistent upper abdominal pain were subjected to upper gastrointestinal scopy. Biopsies in indicated cases were taken from abnormal areas and sent for histopathology.Results: Most common finding in patients according to upper gastrointestinal scopy was gastritis (27%), followed by duodentitis (9%), and gastroduodenitis (7%). Rapid urease test in cases of gastritis and duodenitis to determine H. pylori infection were positive in 53.8% cases.Conclusions: Because of its precision and relatively safe technique upper GI endoscopy can be considered in patients above age of 50 years presenting to surgical OPD with complaints of persistent pain in upper abdomen. Investigating helicobacter pylori should be considered in all patients found to have gastric or duodenal lesions on upper GI endoscopy as its association with these lesions ranges from 50 to 80%.


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.


2017 ◽  
Vol 40 (1) ◽  
pp. 17-20
Author(s):  
Md Wahiduzzaman Mazumder ◽  
Md Rukunuzzaman ◽  
Atiar Rahman ◽  
SM Baqui Billah ◽  
Kaniz Sultana ◽  
...  

Background: Upper gastrointestinal (UGI) endoscopy is a safe and sensitive investigation in the diagnosis of upper gastrointestinal diseases. There is limited study on paediatric upper GI endoscopy in our country. This study was done only in BSMMU, a tertiary care health facility of Bangladesh.Objectives: The aim of the study was to find out the indications, common endoscopic findings and immediate post procedure complication of UGI endoscopy in children.Methods: This is a retrospective analysis of 100 patients from August 2013 to October 2014. The indications for UGI endoscopy, common endoscopic findings and immediate post procedure complications were collected from case recording &were analyzed.Results: The commonest indication was upper GI bleeding in the form of hematemesis with or without melenae (41%). The most common finding was esophageal varices (49%). Less common findings were esophagitis, gastritis & gastro-duodenal ulcer. There was no post procedure complication.Conclusion: In the study, the commonest indication for Pediatric UGI endoscopy was upper GI bleeding and the commonest endoscopic abnormality was esophageal varices. No immediate post procedure complication was noted in the study.Bangladesh J Child Health 2016; VOL 40 (1) :17-20


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


2019 ◽  
Vol 6 (7) ◽  
pp. 2336
Author(s):  
G. V. Prakash ◽  
A. Satish Kumar ◽  
M. Vijay Kumar ◽  
S. Nagamuneiah ◽  
G. Rajaram ◽  
...  

Background: The objective of the study was to enumerate the different mucosal lesions in established acute pancreatitis on upper gastrointestinal endoscopy.Methods: We prospectively conducted a study on patients with acute pancreatitis above the age of 18 year having aute onset of typical abdominal pain consistent with acute pancreatitis, or Serum amylase and/ or lipase level >2 times the upper limit of normal or characteristic findings of acute pancreatitis on an abdominal computed tomography (CT) scan or on ultrasonography. Patients who are unfit or not willing for endoscopy or had endoscopy –proved peptic ulcer disease in the recent 3 months were excluded.Results: In the present study, the most common age group presenting with acute pancreatitis was between 30 to 60 years. In present study, alcohol is the more common cause for acute pancreatitis, accounting for 90% of the study group and pain abdomen is the most common symptom. In the present study, CT scan is most (100%) confirmatory diagnostic investigation of acute pancreatitis. In the present study, out of 80 patients with acute pancreatitis who were subjected to OGD, 72 patients had positive upper gastrointestinal finding. In patients having significant OGD findings, gastritis (42 cases, 52.5%) accounted for the most common finding. In the present study the prevalence of H. pylori infection is only 26.3%. Enlarged pancreas is the only CT finding in most cases.Conclusions: Esophagitis and gastric and duodenal ulcers are common endoscopic findings in acute pancreatitis. They are not correlated with the severity of pancreatitis. 


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.


2021 ◽  
Vol 8 (21) ◽  
pp. 1679-1684
Author(s):  
Anand Hanumaiah ◽  
Savita K. Sridhar

BACKGROUND Dyspepsia is a term used to describe a number of symptoms thought to originate from the upper gastrointestinal tract. It may be caused by a variety of conditions such as peptic ulcer disease, gastro-oesophageal reflux, or even malignancy. Sometimes, dyspepsia is deemed to be functional. Endoscopy helps in differentiating these upper gastro-intestinal (GI) conditions. The objectives of this study were to determine the gastrointestinal findings in patients presenting with dyspepsia in our centre and compare them with those of other studies. METHODS This is a retrospective study of 100 consecutive patients who had undergone upper GI endoscopy for symptoms of dyspepsia from endoscopy data base at Karwar Institute of Medical Sciences, Department of Surgery, from January 2018 to March 2020. RESULTS Out of the total 100 patients who underwent upper GI endoscopy in our institution, 60 were males and 40 were females; youngest was aged 18 years and the oldest was 80 years old. 87 patients had abnormal findings and among these, 29 patients had finding in oesophagus, 54 in the stomach and 04 in the duodenum. A total of 13 patients were reported to be normal. CONCLUSIONS Dyspepsia is much common in males than females. Gastritis is the most common finding on endoscopy followed by oesophagitis and duodenitis other than reflux disorders. Along with proper history and physical examination, endoscopy helps in identifying serious pathologies like malignancy at earlier stage thus reducing morbidity and mortality. Endoscopy is the ‘gold standard test’ for patients with upper gastrointestinal symptoms. KEYWORDS Dyspepsia, Upper GI Endoscopy, Gastritis


Sign in / Sign up

Export Citation Format

Share Document