Some Features of a Local Private Upper Gastrointestinal Endoscopic (UGIE) Practice Particularly Dyspeptic Symptoms Predictive Value of the result A prospective analysis of 1700 cases.


Mohamad Abdul rahman Shaikhani, & Taha Othman Mahwi

College of Medicine, University of Sulaimani




Abstract 

Background: Better selection of dyspeptic patients for UGIE to avoid the enormous costs of both overendoscopy & overtreatment is a hot topic of recent litreture ,but no fixed guidelines have been agreed upon yet. Methods: A prospective study of 1700 dyspeptic patients who had undergon UGIE in the UGIE clinic of the authors were examined & asked about common dyspeptic symptoms prior to UGIE then the statistical significance of these symptoms were measured in relation to the UGIEic results by using the qui square analysis regarding P value of < o. o5 as statistically significant Also other features of our UGIE practice were studied as shown in the text. Results:Dyspeptic symptoms can be used for better selection of patients for UGIE ,although UGIE can have reassuring effect on those with functional dyspepsia. The time needed to complete an UGIE & that needed to intubate its different levels was recorded.Dudenal ulceration was the commonest UGIE is finding ,followed by reflux oesophagitis,antral gastritis & carcinoma stomach Aoesophagus .Pyloric ring appearance had a positive predictive value offending a duodenal pathology. 

Keywords: Upper GI endoscopy, Dyspeptic symptoms /non-ulcer Dyspepsia H. Pylor. 


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