DIAGNOSTIC UPPER GASTROINTESTINAL ENDOSCOP

O b j e c t i v e : To evaluate Oesophagogastroduedensocopy (OGD) in term of it's indications and endoscopic findings. Design:Retrospective, audit.Place a n d d u r a t i o n of t h e study: Medical "C" unit, Department of Medicine Government Lady Reading Hospital PostGraduate Medical Institute Khyber Medical University Peshawar from July 2002 to June 2007. S u b j e c t s a n d M e t h o d s : Adult patients whounderwent upper gastrointestinal (Gl) endoscopies during the last 5 years period were included in the study. The procedure was performedas per the standard protocol with diagnosis based on established criteria. Results: A total of 2282 were scoped, 53.3% (n=1216) were femaleand 46.7% (n=1066) male. The mean age of the study population was 43.75 Standard Deviation (SD) +18.00. Dyspepsia (54.5%), upper Glbleed (12.3%), recurrent vomiting (11.1%), and dysphagia (7.8%) accounted for the common indications of the procedure. Endoscopy wasnormal in 16.4% (n=374) of patients. Amongst the others (n=1908) single endoscopic diagnosis was made in 91 % of the patients and in theremaining 9% of patients combination of lesions were seen. The endoscopic findings included gastritis and duodenitis alone or in combination(29.4%), oesophagitis (13.9 %), duodenal ulcer (6.6%), gastric ulcer (7.4%), oesophageal varices (3.7%) and growth oesophagus (2.9 %).Gastric ulcer was more common than duodenal ulcer. C o n c l u s i o n : Upper Gl endoscopy is safe and an excellent diagnostic modality with highdiagnostic yield. Dyspepsia, upper Gl bleed, recurrent vomiting and dysphagia are the commonest indication for OGD. Gastro-duodenitis,oesophagitis, peptic ulcer disease, oesophageal varices and growth oesophagus are the common endoscopic diagnosis.