Publication:

Analysis of upper gastro intestinal scopy finding in public hospital associated with medical college

Background Upper gastro intestinal scopy is common indication in patients of upper gastrointestinal complaints with normal ultra sonography /CT abdomen. Upper gastrointestinal pathology up to second part of duodenum is easily diagnosed by upper gastro intestinal scopy. An objective of the study was to find out cause of upper gastrointestinal discomfort in study group with diagnostic yield and correlation with clinical profile.

Methods Prospective observational cross sectional study was done of all the age group patients and either gender, presented with upper gastrointestinal discomfort in the surgical OPD and undergone upper gastrointestinal scopy at our institute.

Results Commonest finding in upper gastrointestinal scopy was chronic gastritis, duodenitis, gastritis with lax oesophageal sphincter, duodenal ulcer. Patients with dyspepsia undergone upper gastrointestinal scopy have 90% positive finding. Total patient 154 have undergone upper gastrointestinal scopy with 81% positive finding.

Conclusions In our study, dyspepsia was most common indication for upper gastrointestinal scopy. In our study, a highest finding was chronic gastritis in 46 patients and duodenitis in 34 patients. This finding was similar to other study. In our study, most common appropriate indication with highest positive finding is acid peptic disease and least positive finding is vague upper abdominal discomfort.