Analysis of Oesophagogastroduodenoscopy Findings in Patients of Dyspepsia - A Retrospective Study in Coastal Region of Karnataka

BACKGROUND Dyspepsia is a term used to describe a number of symptoms thought to originate from the upper gastrointestinal tract. It may be caused by a variety of conditions such as peptic ulcer disease, gastro-oesophageal reflux, or even malignancy. Sometimes, dyspepsia is deemed to be functional. Endoscopy helps in differentiating these upper gastro-intestinal (GI) conditions. The objectives of this study were to determine the gastrointestinal findings in patients presenting with dyspepsia in our centre and compare them with those of other studies. METHODS This is a retrospective study of 100 consecutive patients who had undergone upper GI endoscopy for symptoms of dyspepsia from endoscopy data base at Karwar Institute of Medical Sciences, Department of Surgery, from January 2018 to March 2020. RESULTS Out of the total 100 patients who underwent upper GI endoscopy in our institution, 60 were males and 40 were females; youngest was aged 18 years and the oldest was 80 years old. 87 patients had abnormal findings and among these, 29 patients had finding in oesophagus, 54 in the stomach and 04 in the duodenum. A total of 13 patients were reported to be normal. CONCLUSIONS Dyspepsia is much common in males than females. Gastritis is the most common finding on endoscopy followed by oesophagitis and duodenitis other than reflux disorders. Along with proper history and physical examination, endoscopy helps in identifying serious pathologies like malignancy at earlier stage thus reducing morbidity and mortality. Endoscopy is the ‘gold standard test’ for patients with upper gastrointestinal symptoms. KEYWORDS Dyspepsia, Upper GI Endoscopy, Gastritis