PROSPECTIVE STUDY OF EVALUATION OF ROLE OF UPPER GESTROINTESTINAL ENDOSCOPY IN DIAGNOSIS AND MANAGEMENT OF PATIENTS WITH PERSISTENT DYSPEPSIA

Jalpesh Majethiya; Asif Meman; Gyaneshwar Rao

Volume : IX, Issue : VII, July - 2020

PROSPECTIVE STUDY OF EVALUATION OF ROLE OF UPPER GESTROINTESTINAL ENDOSCOPY IN DIAGNOSIS AND MANAGEMENT OF PATIENTS WITH PERSISTENT DYSPEPSIA

Jalpesh Majethiya, Asif Meman, Gyaneshwar Rao

Abstract :

INTRODUCTION: Endoscopy of gastrointestinal diseases is an effective tool for the diagnostic evaluation and management of patients with dyspepsia. Thus, the present study was undertaken to study the role upper gastrointestinal endoscopy in early diagnosis and management of common gastric disorders. MATERIAL AND METHODS: The present prospective study comprised of 200 patients who underwent endoscopy procedure due to history related to gastric disorders in the Gujarat Adani Institute Of Medical Sciences, Bhuj during August 2017 to July 2019. After history taking and physical examination, patients were subjected to fie–optic upper GI scopy. Obtained data was arranged according to characteristics and was expressed as a number and percentage of respondents and were analyzed using the SPSS Version 17 software. RESULTS: In the present study, duration of symptoms of gastric discomfort and pain with 36 patients reported symptoms from <1 month, 92 from 1–6 months, 40 from months to 1 year and 32 patients reported symptoms from a duration of 1–2 years. On endoscopic examination, 44 patients were diagnosed with reflux esophagitis, 12 hiatus hernia, 72 gastritis, 12 gastric ulcer, 20 carcinoma stomach and 8 duodenal ulcer. CONCLUSION: Upper GI endoscopy is an effective and appropriate approach for initial investigation to assess patients with dyspepsia. It enhances the early diagnosis and thus helps in early initiation of the required treatment for acute abdomen including pharmacological and surgical treatment.