• Pak J Med Sci · Jul 2022

    Clinically significant endoscopic findings in a dyspeptic rural population cohort of Sindh, Pakistan: Are we over-investigating?

    • Muhammad Kamran, Asher Fawwad, Bushra Rabbani, and Jameel Ahmed.
    • Dr. Muhammad Kamran, FCPS Department of Gastroenterology, Fazaia Ruth Pfau Medical College, Karachi, Pakistan.
    • Pak J Med Sci. 2022 Jul 1; 38 (6): 1483-1488.

    ObjectivesTo discuss the clinically significant endoscopic findings of the upper GI tract and their association with different age groups in a dyspeptic rural population of Gadap town, Sindh.MethodsThis was a retrospective secondary data analysis of 806 patients conducted in the medical ward of Fatima Hospital, Baqai Medical University from December 2016 to May 2019. It was approved by the University Ethics Committee. Patients' demographics and other data related to the procedure were recovered from patients' records. SPSS version 20 was used for statistical analysis.ResultsThere were marginally more women suffering from dyspepsia as opposed to men (51.5% vs 48.5% respectively). Majority of the patients were less than 45 years of age, with most procedures being performed as outpatients. Nearly 40% of the patients did not have clinically relevant endoscopic findings. Most common significant finding on endoscopic examination was gastritis followed by hiatal hernia.ConclusionNormal upper gastrointestinal endoscopy, regardless of age, is a common finding in patients suffering from dyspepsia in our setting. Therefore, in a resource constraint environment like ours, expensive endoscopic procedures should be reserved for those patients who are not responding to medical therapy or those who have alarm symptoms.Copyright: © Pakistan Journal of Medical Sciences.

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