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.
Highlights
Upper gastrointestinal (UGI) complaints among other abdominal issues are associated with high morbidity and mortality ranging from 2% to 33% [1,2]
Pakistan has a high burden of chronic liver disease (CLD) due to infection with hepatitis B and C viruses, causing varices in 30% of compensated and 60% of decompensated CLD patients [5]
Scanty data is available about demographics, indications, and findings of upper gastrointestinal (UGI) endoscopy in Pakistan
Summary
Upper gastrointestinal (UGI) complaints among other abdominal issues are associated with high morbidity and mortality ranging from 2% to 33% [1,2]. Among UGI complaints, bleeding is a fatal medical emergency with a multitude of causes globally, including esophageal varices, gastric erosions, peptic ulcer, and mucosal tear [4]. Pakistan has a high burden of chronic liver disease (CLD) due to infection with hepatitis B and C viruses, causing varices in 30% of compensated and 60% of decompensated CLD patients [5]. Scanty data is available about demographics, indications, and findings of UGI endoscopy in Pakistan. Aim to perform a study to document demographic characteristics, indications, and endoscopic findings in patients undergoing UGI endoscopy at a tertiary care hospital in Hyderabad/Jamshoro, which has a large number of referrals from around the region
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
