Upper gastrointestinal endoscopy in children: The Lagos University Teaching Hospital experience

Introduction: Upper gastrointestinal (UGI) endoscopy includes visualization of the oropharynx, esophagus, stomach, and proximal duodenum, with real time assessment and interpretation of the findings encountered. An upper endoscopy is indicated in the diagnostic evaluation of signs and symptoms of a wide variety of gastrointestinal disorders. Besides there are some therapeutic implication of the endoscopy. This study was conducted to study the spectrum of diseases found during the upper gastrointestinal endoscopy in patient presenting in Lumbini Medical College and Teaching Hospital (LMCTH). Methods: This was a retrospective observational study carried out in LMCTH. The endoscopic record book of the patients who underwent UGI endoscopy for various reasons from February 2011 to 2013 was analysed. The risk factor of smoking and alcohol was also included and analysed in the study. Results: All together 550 upper GI endoscopy was performed in the two years. There were 290 males (52.72%) and females were 260 (47.38%). The mean age was 45.7 years (SD=17.9). Most of the patient belonged to the age group 41 to 80 years (71%). Among total patients, 209 (38%) of them were found to be macroscopically normal. Of those who had positive endoscopic findings; 165 (48.4%) had gastritis and 36 (10.6%) had duodenal ulcer, esophageal varices was in 30 (8.8%), gastric carcinoma in nine (2.6%) of cases. Cigarette smoking was significantly associated with the presence of peptic ulcer disease (p=0.01) and malignancy of gastrointestinal tract (p=0.03). Alcohol intake was non-significantly related to peptic ulceration (p=0.07) and malignancy of gastrointestinal tract (p=0.09). Conclusion: Upper gastrointestinal endoscopy is a safe and useful procedure for investigating patients with gastrointestinal complains. Gastritis was the most common finding among the patients who had abnormal endoscopy followed by duodenal ulcer and esophageal varices.

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Findings of Paediatric Upper Gastrointestinal Endoscopy at a Tertiary Care Centre

Journal of Nepal Paediatric Society ◽

10.3126/jnps.v35i2.13595 ◽

2016 ◽

Vol 35 (2) ◽

pp. 123-128

Author(s):

Surya Bahadur Thapa ◽

Arun Kumar Sharma

Keyword(s):

Abdominal Pain ◽

Gastrointestinal Endoscopy ◽

Tertiary Care ◽

Growth Failure ◽

Recurrent Abdominal Pain ◽

University Teaching ◽

Caustic Ingestion ◽

Upper Gastrointestinal Endoscopy ◽

Tertiary Care Centre ◽

Upper Gastrointestinal

Introduction: Endoscopy is an important diagnostic tool for gastrointestinal disorders in children. Practitioners still debate the need and utility of endoscopy in children and this important evaluation is potentially underutilized. There is a paucity of paediatric endoscopy data in Nepal. This report describes an initial three-year experience on profile of upper gastrointestinal endoscopy at Tribhuvan University Teaching Hospital (TUTH).Material and Methods: This retrospective study was conducted by reviewing hospital records for children undergoing endoscopy for various indications at TUTH during November 2011 to October 2014 (3 years).Results: We performed 362 endoscopies during this period. Mean age of patients was 9.49 years (range 2 months to 18 years) and 199 (54.9%) patients were under 10 years of age. Common indications were upper gastrointestinal bleeding (27.6%), recurrent abdominal pain (26.2%), acute abdominal pain (24.6%), recurrent vomiting (5.2%), and caustic ingestion (3.6%). An abnormality was detected in 159 (42.2%) patients. Varices (16.6%), gastritis/duodenitis (14.9%), ulcer (3.3%), oesophagitis (1.9%) were common diagnoses. Etiology of upper gastrointestinal bleed was identified in 65% of patients. Majority of patients with recurrent abdominal pain had negative results (80%). Failure to thrive constituted a very small proportion of children (0.2%) evaluated. All children received sedation/ analgesia and tolerated the procedure well.Conclusion: Paediatric upper gastrointestinal endoscopy can be safely performed across wide age range with proper sedation/ analgesia. Endoscopic diagnosis may improve management and children requiring such evaluation should be timely referred. Paediatricians should be encouraged to refer patients with growth failure early to ensure proper management. J Nepal Paediatr Soc 2015;35(2):123-128

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

International Surgery Journal ◽

10.18203/2349-2902.isj20170212 ◽

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.

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