Jagadeeswaran, G (2009) Analysis of Clinical Features, Ultrasound Abdomen and Upper GI Endoscopy of Patient presenting with dyspepsia. Masters thesis, PSG Institute of Medical Sciences and Research, Coimbatore.
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Abstract
INTRODUCTION : Dyspepsia is a very common human experience, for which there are numerous causes. As the alimentary tract can only indicate disquiet in a limited number of ways, symptoms can only be a guide as to the underlying problem. Dyspepsia may be defined as a group of symptoms which alert doctors to disease of the upper gastrointestinal (GI) tract. This definition embraces structural, or organic, causes (such as peptic ulcer, cancer) and functional, where no identifiable lesion can be found. Dyspepsia means ‘bad digestion’. Numerous definition of dyspepsia have been attempted. Most authors consider that the symptoms should derive from the upper GI tract, but there is a wide range of conditions which can produce symptoms that are labeled dyspeptic. These range from serious conditions such as ulcer and cancer through to the common situation where about 50% of patients presenting with dyspepsia have no apparent structural abnormality. The functional dyspeptic group may be broken down into four groups; those whose symptoms suggest an ulcer but non present (ulcer like); those who appear to have gastro-oesophageal reflux but no oesophagitis (reflux-like) ; those with symptoms suggesting delay in gastric emptying (dysmtoility - like) ; and a substantial group of those with non-specific features (non-specific or unspecified). AIM OF THE STUDY : Analysis of clinical features, ultrasound abdomen and upper GI scopy of patients presenting with of dyspepsia. To find out the most common cause. MATERIALS AND METHODS : This study was carried out in 80 patients who presented with clinical features suggestive of dyspepsia, attended in Gastroenterology OP, Medicine OP and admitted in wards between September 07 - August 08 in PSG Hospitals. All patients were screened according to protocol of a complete medical history, complete blood count, Urea, Creatinine, Blood sugar, Peripheral smear, ECG, Chest X-ray, Ultrasound abdomen and Upper GI scopy. INCLUSION CRITERIA: 1. Age >20, 2. Undiagnosed cases with symptoms suggestive of dyspepsia. EXCLUSION CRITERIA: 1. Known case of decompensated liver disease, 2. Pregnant women, 3. Known case of ischemic heart disease, 4. Known case of malignancy, 5. Known case of psychiatric disorder, 6. Known case of retroviral infection, 7. Known case of CRF. DISCUSSION : Patient with symptoms of dyspepsia, (both inpatient and out patients) were included in this retrospective study conducted between September 07- August 08. The patient’s records included upper GI scopy and ultra sound abdomen and other basic investigations like complete blood count, Urea, Creatinine, Random Blood sugar, Urine Routine, Stool for occult blood, Peripheral smear. From these investigations, the results were studied and analysis was made. CONCLUSION : In our study, after analysing the clinical features, ultrasound abdomen and upper GI scopy the following results were observed, Out of the 80 subjects, Normal study 42%, H.Pylori gastritis 12.75%, Reflux Esophagitis 15.2%, Cirrhosis of Liver 15.2%, Gastroesophageal Gastric carcinoma 6.25%, Gall bladder 3.75%, Pancreatic Disoder 2%, Duodenitis 1.60%, Hiatus Hernia 1.20%. Majority of the patients were found to be normal study. The possibilities for liver, pancreatic, gall bladder disorders should be kept in mind and further evaluation should be done wherever necessary.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Ultrasound Abdomen and Upper GI Endoscopy ; Patient ; dyspepsia. |
| Subjects: | MEDICAL > General Medicine |
| Depositing User: | Subramani R |
| Date Deposited: | 14 Feb 2018 02:49 |
| Last Modified: | 14 Feb 2018 02:49 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/5698 |
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