UPPER GASTROINTESTINAL ENDOSCOPIC FINDINGS OF PATIENTS PRESENTING WITH DYSPEPSIA IN A TERTIARY CARE CENTRE OF EASTERN INDIA

Sarkar K.*, Gonjhu D., Pal S., Haldar S. N. and Pramanik N.

ABSTRACT

Introduction: Upper gastrointestinal tract (UGIT) endoscopy is a safe and easily carried out procedure of high diagnostic value and also has therapeutic value in some cases. Patients with dyspeptic symptoms are generally referred for UGIT endoscopy, which is the reference standard for diagnosis. Aim and Objective: To categorize the reasons for referral for UGIT endoscopy and to determine the associated risk factors regarding dyspepsia. Material and methods: This institution based cross sectional study was conducted on consecutive hundred cases of patient with dyspeptic symptoms who attended the endoscopy clinic at the School of Tropical Medicine, Kolkata from January 2015 to January 2016. Results: The most commonly identified endoscopic findings were gastritis (54%), duodenitis(20%), hiatus hernia(16), duodenal ulcer(9%), gastric ulcer (4%). Gastric cancer was identified in 3 % of patients and all of them were aged 50 years and above. Endoscopy findings were normal in 16% patients. Among all patients 31 patients had mixed findings and few other findings (like polyp, esophagitis, esophageal Candidiasis, varix etc). Gastritis, GERD and PUD are the leading causes of dyspepsia. Conclusion: The upper gastrointestinal endoscopy has a high diagnostic value in the investigations of upper gastrointestinal symptoms.

Keywords: Upper gastrointestinal endoscopy, dyspepsia.