Prospective analysis of 500 cases of upper gi endoscopy at Tata Main Hospital

Abstract

Introduction: Flexible endoscopy is most commonly used & sensitive technique for early diagnosis of patients presenting with upper GI (gastrointestinal) symptoms & has got therapeutic potentials also. Aim of the study: Prospective analysis of 500 cases of upper GI endoscopy done at Tata main hospital to know about its diagnostic efficacy and prevalence of H. (helicobacter) pylori in upper GI diseases. Materials & methods: a prospective study was conducted in the department of surgery at Tata main hospital from Aug07 to Aug09. All patients presenting with various upper GI symptoms such as dyspepsia, dysphagia, haematemesis, malaena, recurrent vomiting & features of gastric outlet obstruction underwent endoscopy on OPD basis & data analysed. Results: Among the 500 cases,53.2% had duodenitis,48.2% had gastritis,18.6% had duodenal ulcer,6.6% had gastric ulcer,21.4% had erosive duodenitis & gastritis,15.6% had esophagitis,8.4% had esophageal varices,1.2% had duodenal polyps,2.2% had ca esophagus,2.8% had ca stomach & 1.4% had hiatus hernia. Among the 322 cases sent for crush smear for H.pylori 67.4% were positive and 2.4% of the H. pylori positive cases had failure of the triple regimen therapy. Conclusion: In our series the most frequently detected upper GI lesions were duodenitis & gastritis and the incidence of H.pylori positive cases were comparable to those of international studies.