Dyspepsia is described as recurrent upper abdominal discomfort and epigastric fullness after meals, often described by the patients as indigestion.
The assessment of trending diagnostic patterns in upper GI endoscopy is important to validate the priority of endoscopic evaluation over other modalities of investigation for dyspepsia. The significant patterns may form a platform for new epidemiological studies to re-assess the risk factors and distribution of diseases causing dyspepsia in South Indian population
AIM
A retrospective study to assess the trends of diagnosis in upper GI endoscopy in adult dyspeptic patients in South Indian population.
MATERIALS AND METHODS
Endoscopy database records of 3271 consecutive patients who underwent upper …show more content…
Gastritis(51%), duodenitis(22%) and hiatus hernia(9%) were the leading endoscopy diagnoses. Esophageal growth was 3 times more common in females(p=0.009).
Growth in stomach was reported in 2.3% patients.
Carcinoma stomach was significantly higher in age above 40 years(p=0.0009). There was a positive correlation between Ca stomach and increasing age. The cumulative frequencies of gastric cancer by age group were as follows: 7 of 1000 OGDs in patients less than 40 years of age and 40 of 1000 OGDs in patients greater than 40 years of age.
CONCLUSION
The results conclude that gastric malignancy is significantly higher in age>40 years. This recommends a routine upper GI endoscopy for patients>40 years. Esophageal growth is significantly higher in females warranting an epidemiological study on association with possibly dietary pattern and religion in these subjects. Frequent retrospective and prospective studies on yield of upper GI endoscopy is warranted to keep an early check on any alarming trends of significant diseases.
Key words: dyspepsia, gastritis, Upper GI endoscopy, carcinoma stomach, esophageal carcinoma, retrospective …show more content…
Dyspepsia is described as recurrent upper abdominal discomfort and epigastric fullness after meals, often described by the patients as indigestion.
The various causes for dyspepsia include gastritis, peptic ulcer disease, esophagitis, gastro esophageal reflux disease (GERD) and gastric carcinoma which could only be diagnosed by an upper GI endoscopy confirmed by biopsy.
The assessment of trending diagnostic patterns in upper GI endoscopy is important to validate the need for priority of endoscopic evaluation over other modalities of investigation for dyspepsia. The significant patterns may form a platform for new epidemiological studies to re-assess the risk factors and distribution of diseases causing dyspepsia in South Indian population. Frequent retrospective and prospective studies on yield of upper GI endoscopy is warranted to keep an early check on any alarming trends of significant diseases.
This study attempts to provide an overview of general trends in yield of upper GI endoscopy in South Indian population. The sample in this study consisted of 3271 patients retrospectively analyzed for a period of 2 yrs.
The assessment of trending diagnostic patterns in upper GI endoscopy is important to validate the priority of endoscopic evaluation over other modalities of investigation for dyspepsia. The significant patterns may form a platform for new epidemiological studies to re-assess the risk factors and distribution of diseases causing dyspepsia in South Indian population
AIM
A retrospective study to assess the trends of diagnosis in upper GI endoscopy in adult dyspeptic patients in South Indian population.
MATERIALS AND METHODS
Endoscopy database records of 3271 consecutive patients who underwent upper …show more content…
Gastritis(51%), duodenitis(22%) and hiatus hernia(9%) were the leading endoscopy diagnoses. Esophageal growth was 3 times more common in females(p=0.009).
Growth in stomach was reported in 2.3% patients.
Carcinoma stomach was significantly higher in age above 40 years(p=0.0009). There was a positive correlation between Ca stomach and increasing age. The cumulative frequencies of gastric cancer by age group were as follows: 7 of 1000 OGDs in patients less than 40 years of age and 40 of 1000 OGDs in patients greater than 40 years of age.
CONCLUSION
The results conclude that gastric malignancy is significantly higher in age>40 years. This recommends a routine upper GI endoscopy for patients>40 years. Esophageal growth is significantly higher in females warranting an epidemiological study on association with possibly dietary pattern and religion in these subjects. Frequent retrospective and prospective studies on yield of upper GI endoscopy is warranted to keep an early check on any alarming trends of significant diseases.
Key words: dyspepsia, gastritis, Upper GI endoscopy, carcinoma stomach, esophageal carcinoma, retrospective …show more content…
Dyspepsia is described as recurrent upper abdominal discomfort and epigastric fullness after meals, often described by the patients as indigestion.
The various causes for dyspepsia include gastritis, peptic ulcer disease, esophagitis, gastro esophageal reflux disease (GERD) and gastric carcinoma which could only be diagnosed by an upper GI endoscopy confirmed by biopsy.
The assessment of trending diagnostic patterns in upper GI endoscopy is important to validate the need for priority of endoscopic evaluation over other modalities of investigation for dyspepsia. The significant patterns may form a platform for new epidemiological studies to re-assess the risk factors and distribution of diseases causing dyspepsia in South Indian population. Frequent retrospective and prospective studies on yield of upper GI endoscopy is warranted to keep an early check on any alarming trends of significant diseases.
This study attempts to provide an overview of general trends in yield of upper GI endoscopy in South Indian population. The sample in this study consisted of 3271 patients retrospectively analyzed for a period of 2 yrs.