An Insight into Upper Gastrointestinal Endoscopy at CDSIMER

Abstract

Introduction: Upper gastrointestinal endoscopy is very commonly done diagnostic and therapeutic outpatient basis tool for patients with upper gastrointestinal symptoms. Upper gastrointestinal endoscopy was carried out as OPD procedure in department of general surgery at CDSIMER. Objectives: To study the various patterns of upper gastrointestinal diseases in our population and their course of management. Methods: A retrospective study of upper gastrointestinal endoscopy in CDSIMER over past 1 year. Demographics, medical history, indications for upper gastrointestinal endoscopy and the various disease patterns were collected. All patients undergoing upper gastrointestinal endoscopy between 18 and 90 years. Paediatric age group(<18 years),elderly patients above 90 and patients with bleeding disorders are excluded. Results: Among 359 symptomatic patients who underwent upper gastrointestinal endoscopy, 328 (91.36%) had abnormal results. The top four results were antral gastritis (44.29 %), pangastritis (20.33%), GERD (13.09%) and oesophageal candidiasis (4.73%). Inflammation of gastric mucosa in antral gastritis was more severe in the H.pylori positive group (23.17%). 220 males and 108 females were affected. Most affected were the age between 38 to 47 years. Conclusion: Upper gastrointestinal endoscopy is a valuable diagnostic and therapeutic tool in patients with dyspepsia and other upper gastrointestinal symptoms. Training with endoscope is mandatory for surgeon and physicians treating these set of patients. Also it can be a valuable screening tool for diagnosis of carcinoma oesophagus and carcinoma stomach.