The outcome of gastroscope in Chomtong Hospital

Abstract

          Chronic abdominal pain and chronic dyspepsia were common in medical practice and had problem to diagnosis. In present time gastroscope can improve accurate diagnosis but gastroscope is the complicated procedure and has limited inunit numbers and health personnel. So the finding of gastroscope can be guideline to approach patients with chronic abdominal pain or chronic dyspepsia.Retrospective cohort study in outcome of gastroscope in Chomtong Hospital from May 2004- May 2005, was done by collected data from gastroscope records. Incomplete datas were excluded from this study. 240 patients(134 male, 106 female) were done gastroscopy. 41-50 years old was the most range of age that was done gastroscopy. Abnormal finding gastroscope was gastritis (46.6 %) .We found that no different between sex and the most range of age was 41-50 years old. Chronic inflammation with Helicobacter pylori was the most biopsy finding in this study 37.8 %, no different between sex and the most range of age was 41-50 years old. No significant differentiation between the most abnormal gastroscope finding, the most abnormal biopsy and sex and the range of age (p > 0.05). Malignancy was found only 8.3%. From this study the most abnormal finding gastroscope was gastritis and chronic inflammation with Helicobacter pylori from biopsy finding, So these can be guideline to approach patients with chronic abdominal pain or chronic dyspepsia.