PROFILE OF CLINICALLY SIGNIFICANT ENDOSCOPIC FINDINGS ON UPPER GASTROINTESTINAL ENDOSCOPY IN PATIENTS OF DYSPEPSIA IN SUB HIMALAYAN REGION- A HOSPITAL BASED STUDY

Sandhu J., Bhawani R.*, Sharma R., Rana BS. and Chauhan V.

ABSTRACT

Objective: To Study Clinically Significant Endoscopic Findings in Patients Of Dyspepsia using ROME- 3 Criteria. Research Design And Methods: 381 Out patients fulfilling ROME-3 criteria for Dyspepsia were included in this study for one year using standardized questionnaire and were subjected to Upper Gastro Intestinal Endoscopy (UGIE) as per ASGE recommendations for dyspepsia. Results: Out of 381 patients, dyspepsia was more common in males 206 (54%), 205 (54%) patients had dyspepsia with alarm features, 135 (35.43%) patients had Clinically Significant Endoscopic Findings on UGIE. 96 (26.25%) patients had Clinically Significant Endoscopic Findings in the stomach. Malignancy was present in 13 patients (Male:Female, 11:2, p=0.0495). Conclusion: Dyspepsia is a common clinical symptom in patients attending out patient department of Medicine or Gastroenterology clinic. Patients with alarm symptoms and of age more than 55 years should be evaluated for structural lesions in gastrointestinal tract by UGIE.

Keywords: CSEF, UGIE, Dyspepsia, Alarm features, ASGE.