Study of Clinical Profile of Patients with Upper Gastrointestinal Symptoms and their Association with Endoscopy at a Tertiary Care Centre

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Vivek Chaurasia
Deodatta Chafekar
Neelima Chafekar

Abstract

Introduction: Upper endoscopy, also referred to as Esophagogastroduodenoscopy (EGD), is performed by passing a ­flexible endoscope through the mouth into the esophagus, stomach, and duodenum. The gut is accessible with endoscopy, which can diagnose causes of pain, nausea and vomiting, bleeding, weight loss, altered bowel function, and fever1 . Aims and Objectives: To study indications and findings of patients undergoing upper gastrointestinal (GI) endoscopy, to make association of endoscopic findings in these patients presenting with different upper GI symptoms and to document the demographics of subjects undergoing upper GI endoscopy at a tertiary care centre. Materials and Methods: It was a prospective observational study carried out at the Department of Medicine at Dr Vasantrao Pawar Medical College and Hospital, with due permission from the ethics committee for the period of August 2017 to November 2019. All the patients who were found with upper GI symptoms and underwent endoscopy after giving informed consent were included in the study. Total of 136 patients presenting with upper GI symptoms fulfilling the criteria were included in the study and their endoscopic findings were associated. Results: Out of total 136 patients, maximum number of the patients belonged to 51-60 years age group (21.3%). There was male preponderance (61.8% were male 38.2% were female). The most common GI symptom was hemetemesis/malena (40.4%) followed by nausea/vomiting (27.9%). Esophagitis (37%) was the most common endoscopic finding followed by esophageal varices (33%). Out of 45 patients who had esophageal varices 32 (71%) were treated with Endoscopic Variceal Ligation (EVL) and they responded well. Conclusion: Through this study it was concluded that most of the patients presenting with upper GI symptoms were among the elderly age group (51-60 years). Upper GI bleed was the most common symptom and indication for endoscopy followed by nausea/vomiting. The common endoscopic finding among hematemesis/malena patient was esophageal varices and most of them responded well to Endoscopic Variceal Ligation.

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How to Cite
Chaurasia, V., Chafekar, D., & Chafekar, N. (2020). Study of Clinical Profile of Patients with Upper Gastrointestinal Symptoms and their Association with Endoscopy at a Tertiary Care Centre. MVP Journal of Medical Sciences, 266–269. https://doi.org/10.18311/mvpjms/2020/v7i2/24542

References

  1. Song LMWK, Topazian M. Gastrointestinal endoscopy. Harrisons Principles of Internal Medicine. In: Larry JJ, Kasper DL, Longo DL, editors. 20th ed. 2018. p. 2183.
  2. Primrose JN. Stomach and duodenum- Bailey and Love. Short practice of Surgery. In: Russell RCG, Williams NS, Bulstrode CJK, editors. 24th ed. p.1030-1031.
  3. The role of endoscopy in dyspepsia. American Society for Gastriointestinal Endoscopy. 2001; 54(6):2001.
  4. Harmon RC, Peura DA. Evaluation and management of dyspepsia. Therap Adv Gastroenterol. 2010; 3(2):87-98. https://doi.org/10.1177/1756283X09356590 PMid:21180593 PMCid:PMC3002574
  5. Alatise OI, Aderibigbe AS, Adisa AO, Adekanle O, Agbakwuru AE, Arigbabu AO. Management of overt upper gastrointestinal bleeding in a low resource setting: A real world report from Nigeria. BMC Gastroenterol. 2014; 14:210. https://doi.org/10.1186/s12876-014-0210-1 PMid:25492399 PMCid:PMC4269935
  6. Desai BS. Mahanta NB. A study of clinico-endoscopic profile of patient presenting with dyspepsia. J of Digestive Endoscopy. 2017; 6(1):34-98. https://doi.org/10.1016/j. cegh.2017.05.001
  7. Talley NJ. Zinsmeister AR. Schleck CD. Melton LJ. III Dyspepsia and dyspepsia subgroups: A population based study. Gastroenterology. 1992; 102:1259-68. https://doi.org/10.1016/0016-5085(92)70021-3
  8. Pursnani et al. The role of endoscopy in dyspepsia. American Society for Gastriointestinal Endoscopy. 2007; 54:6. 9. Anand D, Gupta R, Dhar M, Ahuja V. Clinical and endoscopic profile of patients with upper gastrointestinal bleeding at tertiary care center of North India. Clinical Epidemiology and Global Health. 2014; 5(4):139-43 https://doi.org/10.4103/0976-5042.150660
  9. Fallah MA, Prakash C, Edmundowicz S. Acute gastrointestinal bleeding. Med Clin North Am 2000; 84:1183-208. https://doi.org/10.1016/S0025-7125(05)70282-0
  10. Kumar C, Chakrabarti KS, Chakraborty S, Sinharay K. Clinical profile of patients presenting with gastrointestinal bleeding in a tertiary care hospital. 2017; 4(6):1616-20. https://doi.org/10.18203/2349-3933.ijam20175177
  11. Jain J, Rawool A, Banait S, Maliye C. Clinical and endoscopic profile of the patients with upper gastrointestinal bleeding in central rural India: A hospital-based cross-sectional study. J of Mahatma Gandi Ins of Med Sci. 2018; 23(1):13-8. https://doi.org/10.4103/jmgims.jmgims_52_15