ENDOSCOPIC EVALUATION OF DYSPEPSIA

Volume 14 , Issue 3 , June 2024 , Pages 271-276

Authors

Dashti Abbas Al-Bustany 1

1 Dean of the College of Medicine-Hawler Medical University, Rizgary Teaching Hospital-Erbil-, Kurdistan Region, Iraq.

DOI logo 10.17656/jsmc.10474

Keywords

Abstract

Background
Dyspepsia, a classic symptom of Peptic Ulcer Disease (PUDs) is a common clinical problem, However, only
15-25% of patients are found to have a gastric or duodenal ulcer. Oesophagogastroduodenoscopy (OGD) is a
necessary investigation of dyspepsia to exclude mucosal disease.
Objectives
To determine the specific causes of dyspepsia amid hundreds of patients who attended a major tertiary GIT
center in Erbil city over the last two decades, to preclude the serious medical illness through endoscopic
visualization, as well as determine if any endoscopic medical intervention would rather relieve dyspepsia most
patients and Methods
A retrospective study was done on endoscopic records of patients from 2004 to 2023. The records review of
2106 patients who underwent OGD for evaluation of dyspeptic symptoms. The OGDs were done in Rizgary
Teaching Hospital at the endoscopy Module. The Device model was an Olympus OTV-F2 connected to a TV
monitor.
Results
The commonest OGD findings were duodenal ulcer (32.5%), atrophic gastritis (29.1%), and normal OGD
(22.7%). Normal OGD was most common amid the age group 30-39 years, while duodenal ulcer and atrophic
gastritis were both most common among the 15-29 age groups.
Conclusion
The most common OGD findings in this study were duodenal ulcers and atrophic gastritis. Both were found
mostly among younger patients. Gastric cancer was the predominant significant lesion seen among various age
groups including younger age groups, no medical intervention through OGD was useful to relieve dyspepsia
in the majority of participants. We recommend active screening programs for gastric cancer, especially among
middle-aged patients together with better social awareness against unhealthy lifestyles.

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  • Published at21 June 2024

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