Endoscopic Findings of Chronic Dsypcptic Patients in Ratchaburi Hospital

Abstract

Background : Dyspepsia is a constellation of symptoms, Dyspeptic patients often complain discomfort or epigastric pain, bloating, nausea or burning. If the symptoms persist or recurrent despite on PPI in duration ≥ 4-8 weeks, its called chronic dyspepsia

Methods : ln this retrospective study, the chronic dyspepic patients are collected from OPD until 1 Jan. 2007 - 29 Feb. 2008, age ≥ 20 years, total 114 patients. Every patients are performed EGD at Endoscopic unit in Ratchaburi Hospital.

Results : EGD diagnosis are classified in 6 types : NUD, gastritis, duodenitis, gastric ulcer, duodenal ulcer, gastric tumor. This study found that gastritis and NUD were diagnosed 36.84%, 32.45% respectively Age mostly < 50 years. Peptic ulcer was found 10-1 1%.

conclusions : From this study, EGD diagnosis was normal or benign condition (gastritis) in patients about 69% and the age mostly < 50 years. So we can select chronic dyspeptic patients to perform EGD for cost-effectiveness.