scholarly journals Is It Necessary to Perform Pre Operative Upper Gastrointestinal Endoscopy in Elective Symptomatic Cholelithasis?

2021 ◽  
pp. 13-17
Author(s):  
Ubedullah Shaikh ◽  
Zahid Ali Memon ◽  
Masroor Mubeen Phulpoto ◽  
Munawar Hussain Mangi ◽  
Nawaz Ali Dal ◽  
...  
Keyword(s):  
Prospective Observational Study ◽  
Gastrointestinal Endoscopy ◽  
Gallstone Disease ◽  
Upper Gastrointestinal Endoscopy ◽  
Foetal Loss ◽  
Medical College ◽  
Atypical Symptoms ◽  
Associated Conditions ◽  
Study Population ◽  
Upper Gastrointestinal

Objective:  Is it necessary to perform pre operative upper gastrointestinal endoscopy in elective symptomatic cholelithasis? Study Design: Prospective observational study. Place and Duration of Study: This study was conducted at surgical departments of  Services Hospital,  Ruth PFAHU, Civil Hospital Karachi, Shaheed Benazir Bhutto Medical College, Lyari Karachi and Liaquat University Of Medical and Health Sciences, Jamshoro from July 2018 to December 2019. Methodology: Study consisted of 382 patients. All patients were subjected to Upper Gastrointestinal Endoscopy 24 to 48 hours before cholecystectomy followed by biopsy were obtained for histopathology if required. Those patients not willing for surgery, General anesthesia problem, pregnant ladies due to risk of foetal loss, carcinoma of gall bladder, stone in CBD and obstructive jaundice were excluded. Results: Out of the 382 patients, 66(17.27%) males and 316(82.72%) females with mean age of study population was 46.10 ± 6.31 years (22 to 65 years). Patients were present typical pain in 146(38.21%) cases and atypical pain in 236(61.78%) cases. Pre operative upper gastrointestinal endoscopy findings revealed Esophagitis in 22(5.75%) cases, GERD in 26(6.80%) cases, gastritis in 88(23.03%), gastric ulcer 49(12.82%), duodenal ulcer in 39(10.20%), polps 21(5.49%) and carcinoma of stomach 9(2.35%). Out of 236(61.78%) cases with atypical pain had persistence of symptoms in 141 (59.74%) cases upto four months. Conclusion: We conclude that upper gastrointestinal endoscopy preoperatively for gallstone disease should be performed. So that preoperatively atypical symptoms are evaluate and taken care of, and patients is fully informed and also treated for associated conditions.

Safety and Acceptance of Non-Sedated Upper Gastrointestinal Endoscopy: A Prospective Observational Study

2012 ◽  
Vol 22 (4) ◽  
pp. 315-318 ◽  
Author(s):  
Pankaj Kumar Garg ◽  
Abhishek Pratap Singh ◽  
Bhupendra Kumar Jain ◽  
Amit Bansal ◽  
Debajyoti Mohanty ◽  
...  
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal

scholarly journals Evaluation of gastric polyps in patients with upper gastrointestinal endoscopy

2019 ◽  
Author(s):  
Lie Zheng ◽  
Xinli Wen ◽  
Yan-Cheng Dai ◽  
Xiao-Xiao QianTu ◽  
Hai-Feng He ◽  
...  
Keyword(s):  
High Frequency ◽  
Gastrointestinal Endoscopy ◽  
Gastric Fundus ◽  
Upper Gastrointestinal Endoscopy ◽  
Bleeding Events ◽  
Polyp Size ◽  
Potential Harm ◽  
Gastric Polyps ◽  
Study Population ◽  
Upper Gastrointestinal

Abstract BACKGROUNDAccording to the study population, incidence of gastric polyps (GP) varies from 0.33% to 6.7% in various studies. Most GPs consist of proliferative polyps (HP), gastric fundus polyps (FGP) and adenomatous polyps (APs). Despite the high malignant AP potential, sporadic FGP has no malignant potential. On the contrary, HP has a lower risk of potential harm. It is not sufficient to perform biopsies to determine the presence of polyp types and displacements, therefore, some polyps may require extensive biopsy or complete resection. METHODS This retrospective study included GP patients or polyphenic lesions with polyps or malignant histology found in polyps or gastroscopy at the Department of Gastroenterology, Shaanxi Hospital of Traditional Chinese Medicine from 2017 to 2019.RESULTSIn a series of 10.000 upper gastrointestinal endoscopy, 384 patients (0.38%) were found to have GPs. Of these patients, 98 (25.5) were male and 286(74.5) were female. The average age of the patients was 62.8 ± 10.4 (36-75) years. HP, AP and FGP frequencies were 88.5%, 5.2% and 2.1%, respectively. The polyp size of 274 (71.3%) patients was ≤ 1 cm. Polyp was identified in 262 (68.2%) patients. The most common polyps are the antrum and the corpus. Endoscopic respiratory polypectomy was performed on 128 patients. Bleeding events have been observed and endoscopic treatment is required after ESP.CONCLUSIONIn current study, GP frequency was low (0.38%), and HP frequency may be high due to high frequency of Helicobacter pylori (HPy) infection in China. Due to the high frequency of HPy infection and the short-term use of proton pump use, FGP frequency may be low.

scholarly journals Comparative Study of Clinico-Pathological Profiles of Patients with Proximal Versus Distal Gastric Adenocarcinoma

2020 ◽  
pp. 107-113
Author(s):  
Ashwini Krishnamoorthy ◽  
Shreya Rajkumar ◽  
K. Kuberan
Keyword(s):  
Gastric Adenocarcinoma ◽  
Gastrointestinal Endoscopy ◽  
Histopathological Examination ◽  
Clinical Pathology ◽  
Western Hemisphere ◽  
Upper Gastrointestinal Endoscopy ◽  
Medical College ◽  
Gastric Adenocarcinomas ◽  
Stomach Adenocarcinoma ◽  
Upper Gastrointestinal

Background: Stomach adenocarcinoma has been a major source of malignant development through the greater part of the 20th century. In different parts of the world, the prevalence of this disease has decreased, mostly due to changes in diet and some other natural constituents. Aim: To examine the clinical pathology of patients with proximal and distal gastric adenocarcinomas. Methodology: This was the prospective work carried out with gastric adenocarcinoma patients treated at Sree Balaji Medical College and Hospital (SBMCH), Chennai, Tamilnadu, India. All patients were undergone upper gastrointestinal endoscopy and an imaging. In endoscopy, biopsies will be taken from the lesion and biopsies were subjected to histopathological examination. Results: The most striking epidemiologic perceptions were the increasing frequency of adenocarcinomas of the proximal stomach and distal throat. We found that the occurrence of proximal gastric adenocarcinomas isn't expanding in our populace when contrasted with the rising rate of such proximal tumors in the Western Hemisphere. Conclusion: In our investigation distal gastric adenocarcinomas were a more incessant finding than the proximal gastric adenocarcinomas.

scholarly journals Upper Gastrointestinal Endoscopy in Lumbini Medical College and Teaching Hospital

2013 ◽  
Vol 1 (1) ◽  
pp. 7
Author(s):  
Bishal Khattri Chhetri ◽  
M S Paudel ◽  
Nabin Pokharel ◽  
Shadev Prasad Dhungana ◽  
Anuj Paudel ◽  
...  
Keyword(s):  
Duodenal Ulcer ◽  
Gastrointestinal Tract ◽  
Teaching Hospital ◽  
Esophageal Varices ◽  
Gastrointestinal Endoscopy ◽  
Common Finding ◽  
Upper Gastrointestinal Endoscopy ◽  
Ulcer Disease ◽  
Medical College ◽  
Upper Gastrointestinal

  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.

scholarly journals Evaluation of gastric polyps in patients with upper gastrointestinal endoscopy

2020 ◽  
Author(s):  
lie zheng ◽  
xinli wen ◽  
Yan-Cheng Dai ◽  
Xiao-Xiao QianTu ◽  
Hai-Feng He ◽  
...  
Keyword(s):  
High Frequency ◽  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Endoscopy ◽  
Fundic Gland ◽  
Bleeding Events ◽  
Polyp Size ◽  
Potential Harm ◽  
Gastric Polyps ◽  
Study Population ◽  
Upper Gastrointestinal

Abstract Background: According to the study population, incidence of gastric polyps (GPs) varies from 0.33% to 6.7% in various studies. Most GPs consist of hyperplastic polyps (HPs), fundic gland polyps (FGPs), and adenomatous polyps (APs). Despite the high malignant APs potential, sporadic FGPs has no malignant potential. On the contrary, HPs has a lower risk of potential harm. It is not sufficient to perform biopsies to determine the presence of polyp types and displacements, therefore, some polyps may require extensive biopsy or complete resection. Methods: This retrospective study included GPs patients or polyphenic lesions with polyps or malignant histology found in polyps or gastroscopy at the Department of Gastroenterology, Shaanxi Hospital of Traditional Chinese Medicine from 2017 to 2019.Results: In a series of 10.000 upper gastrointestinal endoscopy, 384 patients (3.84%) were found to have GPs. Of these patients, 98 (25.5) were male and 286(74.5) were female. The average age of the patients was 62.8±10.4 (36-75) years. HPs, APs and FGPs frequencies were 88.5%, 5.2% and 2.1%, respectively. The polyp size of 274 (71.3%) patients was ≤ 1 cm. Polyp was identified in 262 (68.2%) patients. The most common polyps are the antrum and the corpus. Endoscopic mucosal resection was performed on 128 patients. Bleeding events have been observed and endoscopic treatment is required after ESP.Conclusion: In current study, GPs frequency was low (3.84%), and HP frequency may be high due to high frequency of Helicobacter pylori (HPy) infection in China. Due to the high frequency of HPy infection and the short-term use of proton pump use, FGP frequency may be low.

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