Endoscopic findings in patients with uninvestigated dyspepsia: A retrospective study from Qatar

Le résumé fourni par la source

Abstract Background/Aim: Dyspepsia is a common complaint in general clinical practice. The prevalence of clinically significant findings in endoscopy in dyspeptic subjects of various age groups and ethnicities in Qatar is not well studied. This study aimed to evaluate the prevalence of endoscopic findings in previously uninvestigated patients with dyspepsia. Methods we retrospectively studied subjects older than 18 years of age who underwent endoscopy for dyspeptic complaints from January 2011 to December 2017. Subjects who already had peptic ulcer disease, who underwent endoscopy for reasons other than dyspepsia and those with incomplete data were excluded. Results A total of 824 subjects were reviewed for eligibility and 733 were included for analysis. The mean ± SD age of the study subjects was 42.7 ± 13.5 years and 59.5% were males. Epigastric pain was the predominant symptom (79.2%) followed by heartburn (26.1%). Abnormal endoscopic findings were noted in 91.8% of subjects. Gastritis (65.5%) and esophagitis (33.1%) were the most common findings observed. The overall prevalence of gastric ulcer was 4.6% and it was higher in the subjects above 60 years of age (14.1%, p = 0.001). Gastric carcinoma was seen only in 4 (0.54%) subjects. Conclusion Gastritis was the most common endoscopic finding observed followed by esophagitis. The most common presenting symptoms were epigastric pain and heartburn. The prevalence of gastric ulcer was significantly high in patients above 60 years and gastric carcinoma was low in the study population.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.