Single-Center Review of Appropriateness and Utilization of Upper GI-Endoscopy in Dyspepsia: A Retrospective Study

Abstract

Introduction: Upper GI Endoscopy is one among the most commonest tool used by gastroenterologists to define the etiology of dyspepsia. Is this the final decree for all dyspeptic patients or we have to change our decisions as per the resouce available? This study tried to look over the appropriateness and utilization of endoscopy in a tertiary care hospital. Aim of Study: This study aimed to define the endoscopic findings in dyspepsia patients and to catch site of the appropraite utilisation of a resource which can be easily available in tertiary care setting. Materials and Methods: We used administrative data to identify 103 patients who were full filling ROME III criteria for dyspepsia aged ≥ 18 years who were subjected to Endoscopy. These Patients had attended outpatient department of Medical Gastroenterology and were subjected for UGI endoscopy. Results: 103 dyspeptic patients were taken in our study. Among them sixty seven were males and thirty six were females. Majority were in the age group of 20- 40yrs (n= 38). Thirty six were in age group of 40-60 yrs and twenty nine were in the age group of > 60 yrs. significant endoscopy findings were seen in 79% of patients, while as normal endoscopy or no endoscopic findings were seen in 21% of patients. Majority of patients (n = 55) had Erosive Gastritis on endoscopy which were treated tested for H Pylori testings and were treated accordingly. Conclusion: These data suggests adequate appropriate use of current recommendations for endoscopy in the evaluation of dyspepsia patients has been applied to our patient cohort.