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Is Endoscopy Really Necessary in My Case? A Four Year Retrospective Study
H N Dinesh1, Cd Jagadish Kumar2, H M Sanjay2
1Associate Professor, Department of General Surgery, MMCRI and KR Hospital , Mysore, Karnataka, India .
Journal of Clinical and Diagnostic Research : JCDR
|September 30, 2015
Summary
Upper GI endoscopy is recommended for uncomplicated dyspepsia patients over 40. This study found significant endoscopic findings in 64% of these patients, including 2.5% with malignancy.
Area of Science:
- Gastroenterology
- Internal Medicine
- Surgical Gastroenterology
Background:
- Dyspepsia affects approximately 40% of the population.
- Uncomplicated dyspepsia excludes alarm features and NSAID association.
Purpose of the Study:
- Assess the utility of upper GI endoscopy in uncomplicated dyspepsia.
- Identify endoscopic findings in patients with uncomplicated dyspepsia.
Main Methods:
- Retrospective endoscopic study.
- 1450 patients with uncomplicated dyspepsia included.
- Data collected at KR Hospital, Mysore.
Main Results:
- 64% of patients showed endoscopic findings.
- Positive findings were most common in the 40-50 age group.
- Malignancy detected in 2.5% of patients.
Conclusions:
- Upper GI endoscopy is recommended for patients over 40 with uncomplicated dyspepsia.
- Endoscopy aids in diagnosing significant pathology in this demographic.
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