ENDOSCOPIC FINDINGS IN 100 PATIENTS PRESENTING WITH DYSPEPSIA

Abstract

Objectives: The objectives of the study were (i) to find out the relative frequencies of various diseases causing dyspepsia and (ii) to identify the individual diseases in different age groups.

Material and Methods: This descriptive study was conducted in Medical "B" unit of the department of Medicine Postgraduate Medical Institute Government Lady Reading Hospital, Peshawar Pakistan from February 2004 to January 2005. A total number of 100 patients, 58 male and 42 female with dyspepsia underwent upper GI endoscopy. Patients and their attendants were informed about the procedure and written consents were obtained.

Results: The ages of the patients ranged from 15 to 75 years with mean age of 43.50 year + 15.60 years. Non-ulcer dyspepsia in 26 %, duodenal ulcer 23%, gastritis 20%, esophagitis 12%, gastric ulcer 10%, gastric mass 03%, and duodenitis was diagnosed in 06% cases. Duodenal ulcer was common (74%) in 3rd to 4th decade, gastric ulcer in 6th to 7th (78%), esophagitis (65.5%) in 6th to 7th decade, gastritis (74%) in the 4th to 6th decade, non-ulcer dyspepsia (68%) in the patients less than 30 years while gastric mass (27.8%) was diagnosed in patients above 60 years age.

Conclusion: Non-ulcer dyspepsia, duodenal ulcer, gastritis and esophagitis are the most common endoscopic findings in dyspepsia. Non-ulcer dyspepsia was more common in the patients less than 30 years of age, duodenal ulcer in 3rd to 4th decade and gastric ulcer in 6th to 7th decade.