Endoscopic Study of Dyspepsia in a Tertiary care hospital of Rohilkhand region

Rajat Rawat; A.B. Mowar; Abhishek Deepak; Sharat Johri

Volume : VII, Issue : III, March - 2018

Endoscopic Study of Dyspepsia in a Tertiary care hospital of Rohilkhand region

Rajat Rawat, A. B. Mowar, Abhishek Deepak, Sharat Johri

Abstract :

Background: Dyspepsia is a condition of impaired digestion and symptoms including abdominal fullness, nausea, belching or upper abdominal pain .Of all adults 30–40% experience symptoms of upper abdominal pain or discomfort but an organic cause is found in only a minority who seek medical care¹. It is necessary to know the causes of dyspepsia to establish the management protocol. UGI endoscopy is the method of choice in the differentiating between structural and functional dyspepsia.

Aim: This study was being undertaken to determine the importance of Upper GI endoscopy in diagnosis and management of patients with dyspepsia in a tertiary care hospital of Rohilkhand region.

Materials and Methods: This was a observational study carried out at SRMS IMS Hospital, Bareilly, over a period of 3 month between March–May, 2017. 100 patients presenting with dyspepsia were studied with UGI Endoscopy and Ultrasound abdomen of all the patients. Endoscopic biopsy was was performed wherever indicated to study the histopathology. A detailed history and clinical examination were done with relevant investigations in all the patients.

Results: Out of 100 dyspeptic patients, 52 patients (52%) had functional dyspepsia (i.e. normal USG and normal UGI endoscopy) and 48 patients (48%) had dyspepsia of organic origin. Amongst organic causes, 17 patients (35.41%) had inflammatory lesions (i.e. gastritis, gastroduodenitis, duodenitis and esophagitis). Duodenal ulcer was seen in 16 patients (33.33%), 4 patients (8.33%) had gastric ulcer, Carcinoma stomach and Carcinoma Esophagus in 1 patient (2.08%) and 2 patients (4.16%) respectively. Hiatus Hernia was present in 4 patients (8.33%). Functional dyspepsia was present mostly in the females (40 females (76.92%)) while organic dyspepsia group mostly in the males (32 patients (66.67%)).

Conclusion: Upper GI Endoscopy study revealed commonly as functional dyspepsia. Organic dyspepsia was more common in males whereas functional dyspepsia was more common in females. The frequency of functional and organic dyspepsia were almost similar. UGI endoscopy is useful in diagnosing etiology and helps in management.