DOI: http://dx.doi.org/10.18203/2349-2902.isj20195104

Upper gastrointestinal endoscopy in patients with dysphagia: our experience

Zameerulla T., Vivekanand D., Hanumathappa B. N.

Abstract


Background: One of the common indications for upper gastrointestinal (GI) endoscopy is dysphagia. Dysphagia is usually associated with serious underlying disorder that requires immediate attention. The current study aimed to determine the frequency of common endoscopic findings in patients presenting with   dysphagia.

Methods: This retrospective study was conducted at the S.S Institute of Medical Science and Research center Davangere from January 2015 to June 2019. Patients admitted with complaints of dysphagia, OPD patients and references with complaints of dysphagia underwent upper GI endoscope by different endoscopist were included in the study. Register in endoscopic room was referred for different endoscopic findings in dysphagia patients.

Results: A total of 158 patients presenting with dysphagia were studied, 83 (52.53%) were males and 74 (47.46%) were females. The mean age was 55years.  Normal study present in 63 (39.87). Malignant oesophageal stricture was the next common finding noted in 47 (29.74%) patients. Among these patients 25 (53.19%) males and 22 (46.80%) females patients. It was followed by reflux esophagitis in 31 (19.62%) patients. Benign oesophageal strictures in 9 (5.69%) patients while achalasia was noted in 1 (0.63%) patients, 7 (4.46%) patients had findings other than the ones mentioned above. Malignant lesions commonly present in elderly patients with age. Benign lesions present commonly in younger age group.

Conclusions: Malignancies, reflux esophagitis, benign oesophageal strictures are a more common cause of dysphagia in our population. Early diagnosis of can result in proper treatment of many of these cases.


Keywords


Causes of dysphagia, Dysphagia, Upper GI endoscopy

Full Text:

PDF

References


Qureshi NA, Hallissey MT, Fielding JW. Outcome of index upper gastrointestinal endoscopy in patients presenting with dysphagia in a tertiary care hospital-A 10 years review. BMC Gastroenterol. 2007;7(1):43.

Varadarajulu S, Eloubeidi MA, Patel RS, Mulcahy HE, Barkun A, Jowell P, et al. The yield and the predictors of esophageal pathology when upper endoscopy is used for the initial evaluation of dysphagia. Gastrointestinal Endoscopy. 2005;61(7):804-8.

Warnecke T, Dziewas R, Oelenberg S, Ritter M, Dittrich R, Schäbitz WR, et al. Serial fiberoptic endoscopic evaluation of swallowing in patients with acute stroke and dysphagia: case report and general considerations. J Stroke Cerebrovascular Dis. 2006;15(4):172-5.

Haddow, K MacDoudgall, GM Buchanan, MA Bates. Dysphagia. BMJ. 2001;323:850-3.

Krishnamurthy C, Hilden K, Peterson KA, Mattek N, Adler DG, Fang JC. Endoscopic findings in patients presenting with dysphagia: analysis of a national endoscopy database. Dysphagia. 2012;27(1):101-5.

Khan AN, Said K, Ahmad M, Ali K, Hidayat R, Latif H. Endoscopic findings in patients presenting with oesophageal dysphagia. J Ayub Med College Abbottabad. 2014;26(2):216-20.

Tongper D, Naloh M, Hajong R. Clinical and Endoscopic Study of Dysphagia: A Prospective Cros sectional Study at a Tertiary Care Centre at North- Eastern India. IOSR-JDMS. 2015;14(2):9-11.