Upper Gastro Instestinal Endoscopic Findings In Patients With Dyspepsia: Our Experience At Cims, Bilaspur, Chhattisgarh, India

Objective:Aim of the study was to evaluate Upper Gastro Intestinal endoscopic findings in patients presenting with dyspepsia and to campare with earlier studies. Material and Method:This retrospective, observational study was conducted in endoscopic unit in the Department of Medicine in chhattisgarh institute of medical sciences, fromJuly 2007 to December 2011. Adult patients with dyspepsia who underwent Upper Gastro Intestinal endoscopies where included in the studies. Patients were referred by the consultants and doctors working in the periphery for endoscopy. Endoscopies were performed as per standard protocol with diagnoses based on accepted criteria. Results: Upper Gastro Intestinal endoscopies were performed on a total of 593 patients. Patients who presented with dyspepsia were scoped. Amongst them 64.9% (n=385) were male and 35.1 %( n=208) were females. The mean age of the studied population was 41.45 years (SD +_ 15.343), most common lesion was gastritis seen in 25.1 %( n=149), esophagitis 3.5 %( n=21), gastric carcinoma 4.6% (n=27), esophageal carcinoma 3.7% (n=22), gastric ulcer 6.7% (n=40) duodenal ulcer was found in 4 %( n=24). Gastric ulcer was more common as compared to duodenal ulcer (6.7% vs. 4%).Endoscopy was normal in 40.0% (n=237) of the patients. Conclusion: Endoscopy is a very important investigative modality to identify the specific pathology in patients of dyspepsia .Gastritis; Esophagitis, Duodenitis, Duodenal ulcer,Gastric ulcer, Gastric carcinomas and esophageal carcinoma were the commonest endoscopic diagnostic findings.