EC Clinical and Medical Case Reports

Background: Upper gastrointestinal endoscopy is the preferred investigative procedure for UGIB and dyspepsia because of its accuracy, low rate of complication, and its potential for therapeutic interventions.

Objective: To assess endoscopic findings in patients with dyspeptic symptoms and upper GI bleeding who underwent OGD.

Methods: The study is a descriptive, prospective study and hospital based was conducted in south Darfur state during the period (Sep 2016 - Feb 2017). The sample size was 216 patients diagnosed with dyspepsia and UGIB. Data was collected using a questionnaire which filled directly from the patients and from the endoscopic reports.

Results: Highest percentage of the patients 88 (40.7%) aged between 25 - 44 years, Male patients in the study sample were 123 (57%) while females were 93 (43%). Male to female ratio was 1.3:1. Indications for endoscopy were epigastric pain 164 (75.7%), indigestion and on 105 (48.7%), anemia 23 (10.6%), dysphagia 19 (8.6%), heart burn 18 (8.3%), hematemesis 9 (4.1%), melena 5 (2.3%). Reported causes of dyspepsia were gastritis 106 (49.07%), GERD 89 (41.2%), doudenititis 37 (17.1%), gastric ulcer represent 2 (0.92%), while malignancies were 7 (3.2%). Regarding causes of upper GI bleeding findings were esophageal avarices 9 (4.1%), P. HTN gastropathy 7 (3.24%), Duodenal ulcer 2 (0.92%), gastric tumor 1 (0.46%), normal endoscopy reported in 35 subjects (16.1%).

Conclusion: Upper GI endoscopy remain golden investigation in patients with dyspepsia and upper GI bleeding to determine the underlying pathology especially in whom have alarm features.

Keywords: GI Bleeding; GERD; Dyspepsia; Dysphagia; Gastritis; Peptic Ulcer Diseases; Duodenitis Esophageal Tumor; Gastric Cancer; Odynophagia; Portal Hypertension; Liver Cirrhosis

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