OUTCOME OF CLINICAL INDICATION OF UPPER GASTRO-INTESTINAL ENDOSCOPY IN POPULAR DIAGNOSTICS CENTER LTD. (UTTARA BRANCH), DHAKA, BANGLADESH

Md. Mamunur Rashid* and Sultana Jasmin

ABSTRACT

Introduction: Upper gastrointestinal symptoms like heartburn, belching, dyspepsia are increasing in modern world due to changes in food habits and increased use of refined food. In this regard Upper gastro intestinal endoscopy (UGIE) carries utmost importance in diagnosis and treatment and is a common indication inpatients of upper gastrointestinal complaints with normal ultrasonography/CT abdomen. Objective: This study was done to identify different causes of upper gastrointestinal endoscopy in rural hospital and incidence of the same in the modern world, in comparison with previous study. Methodology: This was a retrospective study in Sheikh Russel Gastro Liver Institute & Hospital, Dhaka, Bangladesh from 2017 to 2019 on a study population of 911 considering all patients who had come with anemia, dyspepsia, suspected gastrointestinal bleed, dysphagia, and melena. The upper gastrointestinal endoscopy was done in our gastroenterology department –the patients who were selected were aged more than 15 years, both genders were included. Results: A total of 911 patients who underwent UGIE during the three-year study period were analyzed. Among them 645 were males (70.8%) and 266 were females (29.2%). The maximum number of people who underwent the procedure were within 20-60 year age group and there was decreasing trends before and after this age group. Patients underwent esophago gastro dudodenoscopy mainly because of dyspepsia 265(29%) and pain abdomen 247(27.1%), followed by gastro esophageal reflux symptoms. The indication for upper gastrointestinal endoscopy was considered appropriate according to ASGE criteria, endoscopy was normal in 319 (35%) patients. The study documented that erosive gastritis (16.13%) and Non-erosive gastritis (14.16%), esophagitis (11.96%) and esophageal varices as the main common diseases encountered in upper esophagoscopy. Conclusion: We have demonstrated increased frequency of gastrointestinal diseases such as gastritis (erosive and non-erosive), gastro esophageal reflux disease as a frequent endoscopic findings and dyspepsia was the main indication to perform endoscopy in our hospital.

Keywords: Upper Gastrointestinal lesions; Endoscopic Biopsy; Histopathology.