Background: Incidence of Dysphagia become more prevalent because of the faulty food habits among the people in recent days.
Aim: To study incidence of various oesophageal and gastric diseases with respect to age, sex, occupation, socioeconomic status and other factors in our hospital. To find the upper gastrointestinal morphological features among patients presenting with dyspepsia using endoscopy. To find the prevalence of of H-pylori infection in patients presenting with dyspepsia and screening for oesophago-gastric carcinoma among patients presenting with dyspepsia.
Materials and Methods: It is a prospective study conducted on patients who presented with dyspepsia in department of general surgery, sree mookabika institute of medical sciences during the period of September 2020 – January 2021.All the patients were evaluated on basis of chief complaints, clinical examination and investigation and They underwent endoscopy and findings were documented, invasive tests like biopsy, rapid urease test and geimsa staining were done findings were tabulated and analysed . Appropriate statistical methods were applied to provide the below mentioned results.
Results: Highest prevalence of dyspepsia belong to the age group of 20-40years. Most common presenting complaint was heart burn followed by nausea/vomiting /epigastric discomfort. Dyspepsia were noted more common in male gender comparing to female gender. Most common endoscopic finding among the study population were gastritis followed by esophagitis along with gastritis. H-pylori infection was present in 42.5% of study population. Malignancy was diagnosed in 2.5% patients with dyspepsia. Clinically significant endoscopic findings were observed in 80.8% of patients with non-investigated dyspepsia.
Conclusion: Clinically significant endoscopic findings were observed in 80.8% of patients with non-investigated dyspepsia. Prevalence of large number of inflammatory lesions as a result of increased acid production, a remarkable prevalence of H-Pylori infection and low incidence of malignancy in the study group suggests that the non-investigated patients with dyspepsia may be initially managed medically with acid suppressive therapy or H-pylori eradication in cases suspected to be infected. Endoscopy may be undertaken in patients with recurrent symptoms or in whom drug therapy fails.