ENDOSCOPIC FINDINGS IN RELATION TO AGE AND SYMPTOMS IN PATIENTS PRESENTING WITH DYSPEPSIA

Objectives: To find the relative frequencies of different diseases causing dyspepsia, and to identify different diseases according to age. Study Design: Prospective cross-sectional study. Place and Duration of Study: Department of Gastroenterology, Pak Emirates Military Hospital Rawalpindi, fr...

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Autores principales:	laima Alam, Farrukh Saeed
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	dyspepsia functional dyspepsia undiagnosed dyspepsia Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/0076639df97948f1906a2e303ebc4802
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spelling	oai:doaj.org-article:0076639df97948f1906a2e303ebc48022021-11-11T05:44:40ZENDOSCOPIC FINDINGS IN RELATION TO AGE AND SYMPTOMS IN PATIENTS PRESENTING WITH DYSPEPSIA0030-96482411-8842https://doaj.org/article/0076639df97948f1906a2e303ebc48022019-06-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3006/2244https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objectives: To find the relative frequencies of different diseases causing dyspepsia, and to identify different diseases according to age. Study Design: Prospective cross-sectional study. Place and Duration of Study: Department of Gastroenterology, Pak Emirates Military Hospital Rawalpindi, from Jan 2017 to Oct 2017. Material and Methods: Patients of age 18 to 80 years with dyspepsia non-responding or refractory to empiric therapy or those with alarm features were offered upper-gastrointestinal-endoscopy as per standard protocol and the results were recorded. Results: A total of 667 patients with 65% males and 35% females were enrolled. Normal endoscopy was reported in 58.8% patients with 35% males and 24% females (total=667), whereas abnormal findings accounted to 41.2% patients with 30% males and 11.2% females. Mixed symptoms were the commonest complaint (75%). The median age group was 41-50 years with median symptom duration of <1 year and >1 <2 years for abnormal and normal endoscopic findings, respectively. Alarm features were present in 14.7% of the population with 60% corresponding to abnormal endoscopic findings. The most common alarm feature was dysphagia (38.8%). The most common endoscopic findings were non-specific findings including gastropathy/doudenopathy (49.6%), followed by hiatal-hernia (16.4%), growths/malignancies (8.4%) reflux-esophagitis (7.3%), ulcers (5.8%), Barret’sesophagus (4.4%), erosions (4%) and esophageal-candidiasis (1.4%). Conclusion: Non-specific gastro-doudenopathy, hiatal-hernia, growths/malignancies, reflux-esophagitis, ulcers, Barret’s-esophagus, erosions and esophageal-candidiasis were the commonest findings in descending order. Epigastric-pain as a symptom and erosions, ulcers and non-specific-findings as endoscopic-findings presented in younger population.laima AlamFarrukh SaeedArmy Medical College Rawalpindiarticledyspepsiafunctional dyspepsiaundiagnosed dyspepsiaMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 3, Pp 443-449 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	dyspepsia functional dyspepsia undiagnosed dyspepsia Medicine R Medicine (General) R5-920
spellingShingle	dyspepsia functional dyspepsia undiagnosed dyspepsia Medicine R Medicine (General) R5-920 laima Alam Farrukh Saeed ENDOSCOPIC FINDINGS IN RELATION TO AGE AND SYMPTOMS IN PATIENTS PRESENTING WITH DYSPEPSIA
description	Objectives: To find the relative frequencies of different diseases causing dyspepsia, and to identify different diseases according to age. Study Design: Prospective cross-sectional study. Place and Duration of Study: Department of Gastroenterology, Pak Emirates Military Hospital Rawalpindi, from Jan 2017 to Oct 2017. Material and Methods: Patients of age 18 to 80 years with dyspepsia non-responding or refractory to empiric therapy or those with alarm features were offered upper-gastrointestinal-endoscopy as per standard protocol and the results were recorded. Results: A total of 667 patients with 65% males and 35% females were enrolled. Normal endoscopy was reported in 58.8% patients with 35% males and 24% females (total=667), whereas abnormal findings accounted to 41.2% patients with 30% males and 11.2% females. Mixed symptoms were the commonest complaint (75%). The median age group was 41-50 years with median symptom duration of <1 year and >1 <2 years for abnormal and normal endoscopic findings, respectively. Alarm features were present in 14.7% of the population with 60% corresponding to abnormal endoscopic findings. The most common alarm feature was dysphagia (38.8%). The most common endoscopic findings were non-specific findings including gastropathy/doudenopathy (49.6%), followed by hiatal-hernia (16.4%), growths/malignancies (8.4%) reflux-esophagitis (7.3%), ulcers (5.8%), Barret’sesophagus (4.4%), erosions (4%) and esophageal-candidiasis (1.4%). Conclusion: Non-specific gastro-doudenopathy, hiatal-hernia, growths/malignancies, reflux-esophagitis, ulcers, Barret’s-esophagus, erosions and esophageal-candidiasis were the commonest findings in descending order. Epigastric-pain as a symptom and erosions, ulcers and non-specific-findings as endoscopic-findings presented in younger population.
format	article
author	laima Alam Farrukh Saeed
author_facet	laima Alam Farrukh Saeed
author_sort	laima Alam
title	ENDOSCOPIC FINDINGS IN RELATION TO AGE AND SYMPTOMS IN PATIENTS PRESENTING WITH DYSPEPSIA
title_short	ENDOSCOPIC FINDINGS IN RELATION TO AGE AND SYMPTOMS IN PATIENTS PRESENTING WITH DYSPEPSIA
title_full	ENDOSCOPIC FINDINGS IN RELATION TO AGE AND SYMPTOMS IN PATIENTS PRESENTING WITH DYSPEPSIA
title_fullStr	ENDOSCOPIC FINDINGS IN RELATION TO AGE AND SYMPTOMS IN PATIENTS PRESENTING WITH DYSPEPSIA
title_full_unstemmed	ENDOSCOPIC FINDINGS IN RELATION TO AGE AND SYMPTOMS IN PATIENTS PRESENTING WITH DYSPEPSIA
title_sort	endoscopic findings in relation to age and symptoms in patients presenting with dyspepsia
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/0076639df97948f1906a2e303ebc4802
work_keys_str_mv	AT laimaalam endoscopicfindingsinrelationtoageandsymptomsinpatientspresentingwithdyspepsia AT farrukhsaeed endoscopicfindingsinrelationtoageandsymptomsinpatientspresentingwithdyspepsia
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ENDOSCOPIC FINDINGS IN RELATION TO AGE AND SYMPTOMS IN PATIENTS PRESENTING WITH DYSPEPSIA

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