Endoscopic Diagnosis and Treatment of Upper Gastrointestinal Tract Disorders - A Single Hospital Experience, Aden, Yemen
Introduction: The study aimed to describe the clinical presentation of patients, endoscopic findings and interventions carried out in 22 May Hospital during 2018. It aimed also to analyze the endoscopic findings of the most common clinical presentation.
Methods: All available electronic reports of upper gastrointestinal endoscopies (UGIEs) which were performed in the study hospital during the study period were collected and reviewed retrospectively. Relevant data were extracted. Descriptive and analytic statistics were performed. To find out association between variables in regarding to endoscopic findings, Fisher's exact test was carried out with the Statistical Package for Social Sciences (SPSS version 17). The p-value of <0.05 was considered statistically significant.
Result: A total of 350 esophagogastroduodenoscopy (EGD) reports were evaluated. It included 229 males and 121 females, whose mean age was 44.2±17.1 (ranged 2-100) years. The most common indication for EGD was epigastric pain in both genders (total=146; males=81, females= 65). The most common endoscopic finding was gastritis in both genders (total=143 males=76, females=67). The most common endoscopic intervention was esophageal rubber band ligation of esophageal varices 51. Of all endoscopic examinations, 8.6% were performed in malignancies with different sites and stages. A statistical association was found between age and gastric cancer, among patients who were complaining from epigastric pain (p ˂0.001).
Conclusion: Epigastric pain was the main indication for UGIEs and gastritis was the most commonly observed disease. Epigastric pain should be taken cautiously among patients with advancing age, and need endoscopic evaluation to rule out gastric cancer. The study highlighted the importance of the diagnostic and interventional use of UGIEs in Yemeni patients.
Keywords: Upper Gastrointestinal Endoscopy, Endoscopic Intervention, Gastric Cancer.