Upper Gi Endoscopy-indications and Findings at Tertiary Care Hospital Hyderabad/Jamshoro
Jalpa Devi *
Department of Gastroenterology, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Hyderabad, Pakistan.
Muhammad Akram Bajwa
Department of Gastroenterology, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Hyderabad, Pakistan.
Nasrullah Aamer
Deparemnt of Medicine, Peoples University of Medical and Health Sciences, Nawabshah/Pakistan.
Rabia Farooque
Department of Medicine, Liaquat University of Medical and Health Sciences (LUMHS) Jamshoro, Hyderabad, Pakistan.
Hira Laghari
Department of Gastroenterology, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Hyderabad, Pakistan.
Amerta Bai
Department of Gastroenterology, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Hyderabad, Pakistan.
Komal Kumari
Department of Radiology, Dow University Civil Karachi, Pakistan.
Nandlal Seerani
Department of Gastroenterology, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Hyderabad, Pakistan.
Riaz Hussain Awan
Department of Gastroenterology, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro, Hyderabad, Pakistan.
*Author to whom correspondence should be addressed.
Abstract
Objective: To document different indications and findings of upper GI Endoscopy in our endoscopy suite.
Methods: A descriptive study of 500 patients who underwent upper gastrointestinal (UGI) endoscopy was conducted in the Endoscopy Unit of PNS DRIGH LUMHS Jamshoro and Civil Hospital Hyderabad from April to September 2020. Included patients underwent UGI endoscopy. Demographic data including indications and endoscopic findings of the patients was collected via study proforma.
Results: Total five hundred patients were studied; their mean age was 42.4±16.8 years. Out of all 52.8% were males. Upper GI bleed was the commonest indication (33.2%) followed by dysphagia (21.6%), epigastrium pain (10%), surveillance and screening of varices (9% and 8.2% respectively). The most common endoscopic findings were esophageal varices (32.2 %), gastritis (18.8%), and normal (11.4%). In patients with esophageal varices, 77.4% had chronic liver disease with positive serology for HCV and HBV in 63.4% and 23% respectively.
Conclusion: The most common indication was upper GI bleed with esophageal varices for upper GI endoscopy. The underlying etiology of varices reflects the high burden of chronic liver disease due to viral hepatitis.
Keywords: Endoscopy, upper gastrointestinal bleed, esophageal varices, dysphagia.