Pub Date : 2020-01-01DOI: 10.33545/26646439.2020.v1.i1a.01
M. Rashid, S. Jasmin
Introduction: Upper gastrointestinal symptoms like heartburn, belching, dyspepsia are increasing in modern world due to changes in food habits and increased use of refined food. In this regard Upper gastro intestinal endoscopy (UGIE) carries utmost importance in diagnosis and treatment and is a common indication inpatients of upper gastrointestinal complaints with normal ultrasonography/CT abdomen. Objective: This study was done to identify different causes of upper gastrointestinal endoscopy in Popular Diagnostics Center Ltd. (Badda Branch) and incidence of the same in the modern world, in comparison with previous study. Methodology: This was a retrospective study in Popular Diagnostics Center Ltd. (Badda Branch), Dhaka, Bangladesh from Jun 2019 to Jun 2020 on a study population of 911 considering all patients who had come with anemia, dyspepsia, suspected gastrointestinal bleed, dysphagia, and melena. The upper gastrointestinal endoscopy was done in our gastroenterology department the patients who were selected were aged more than 15 years, both genders were included. Results: A total of 911 patients who underwent UGIE during the three-year study period were analyzed. Among them 645 were males (70.8%) and 266 were females (29.2%). The maximum number of people who underwent the procedure were within 20-60 year age group and there was decreasing trends before and after this age group. Patients underwent esophago gastro dudodenoscopy mainly because of dyspepsia 265(29%) and pain abdomen 247(27.1%), followed by gastro esophageal reflux symptoms. The indication for upper gastrointestinal endoscopy was considered appropriate according to ASGE criteria, endoscopy was normal in 319 (35%) patients. The study documented that erosive gastritis (16.13%) and Non-erosive gastritis (14.16%), esophagitis (11.96%) and esophageal varices as the main common diseases encountered in upper esophagoscopy. Conclusion: We have demonstrated increased frequency of gastrointestinal diseases such as gastritis (erosive and non-erosive), gastro esophageal reflux disease as a frequent endoscopic findings and dyspepsia was the main indication to perform endoscopy in our Diagnostics Center Ltd. (Badda Branch), Dhaka, Bangladesh.
导读:在现代世界，由于饮食习惯的改变和对精制食品的使用增加，胃灼热、打嗝、消化不良等上消化道症状越来越多。因此，上消化道内窥镜检查(UGIE)在诊断和治疗中具有至关重要的意义，是超声/CT检查腹部正常的上消化道疾病患者的常见指征。目的:本研究旨在探讨大众诊断中心(八大分院)上消化道内窥镜的不同病因，并与以往的研究进行比较。方法:这是一项回顾性研究，于2019年6月至2020年6月在孟加拉国达卡的Popular Diagnostics Center Ltd. (Badda Branch)对911名研究人群进行研究，其中包括所有患有贫血、消化不良、疑似胃肠道出血、吞咽困难和黑黑症的患者。上消化道内窥镜检查在我院消化科进行，患者年龄均在15岁以上，男女均可。结果:在三年的研究期间，共分析了911例UGIE患者。其中男性645例(70.8%)，女性266例(29.2%)。接受手术的人数最多的是20-60岁年龄组，在这个年龄组之前和之后都有下降的趋势。患者行食管胃镜检查主要是因为消化不良265例(29%)，腹痛247例(27.1%)，其次是胃食管反流症状。根据ASGE标准认为上消化道内镜的适应症是合适的，319例(35%)患者的内镜检查正常。研究发现，糜烂性胃炎(16.13%)、非糜烂性胃炎(14.16%)、食管炎(11.96%)和食管静脉曲张是上段食管镜检查的主要常见病。结论:我们发现胃炎(糜烂性和非糜烂性)、胃食管反流病等胃肠道疾病的频率增加，是内镜检查的常见发现，在我们位于孟加拉国达卡的诊断中心有限公司(Badda分公司)，消化不良是进行内镜检查的主要适应症。
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