Clinical Study of Upper Gastrointestinal Endoscopy Findings in Patients with Dyspepsia

Background: Dyspepsia is the commonest symptom in general population. The present study was aimed to study the profile of upper GI endoscopy findings in dyspeptic patients which helps in better early treatment, thereby reducing the morbidity and mortality rate. Methodology: A cross sectional study was conducted in Department of General surgery among 120 patients aged more than 20 years presenting with uninvestigated dyspepsia. Patients who were operated before for gastro - intestinal conditions, who came for follow up and unfit for endoscopy, were excluded for the study. Variables like age, gender, symptoms and signs of dyspepsia, details regarding habits were collected. Upper GI endoscopy was done to know the findings. Data was entered in excel sheet and analysed using SPSS software. Results: Among 120 cases, 57.5% were males and 42.5% were females. Mean age of patients in our study group was 44.48 + 17.71 years. Most common symptoms among the patients were heart burn (80%), 58 patients (48.33%), nausea & vomiting (48.3%), epigastric pain (48.3%), indigestion (40.83%). Loss of weight was seen in 16 (13.33%) patients, pallor in 34 cases (28.33%) and epigastric tenderness in 68 cases (56.67%). There was history of smoking, tobacco and alcohol consumption also. Endoscopic finding was Normal in 23 patients (19.17%), gastritis was seen in 59 cases (49.17%), Peptic Ulcer in 41 patients (34.17%), esophagitis in 11 patients (9.17%), UGI Malignancy in 6 patients (5%), esophageal candidiasis in 4 patients (3.33%). Helicobacter pylori was present among 51 (42.5%) cases. Conclusion: Though the incidence of malignancy was low, endoscopy in patients more than 50 years may help in early diagnosis and reduced morbidity of these patients.