Endoscopic findings in patients with dyspeptic symptoms

Authors

DOI:

https://doi.org/10.33448/rsd-v10i13.21619

Keywords:

Dyspepsia; Endoscopy; Symptom.

Abstract

Introduction: Endoscopy has an important value to assess dyspeptic complaints. It is known that the findings seen on examination can determine the presence of structural diseases that justify such symptoms. Objective: Identify the prevalence of endoscopic findings in patients with dyspeptic symptoms. Methodology: Prospective, cross-sectional and descriptive study conducted in the city of Aracaju / SE, in patients who underwent EGD and a previous clinician of dyspepsia or dyspeptic complaints. Samples of 859 reports from individuals diagnosed with dyspepsia were used and sociodemographic and clinical questionnaires with open and closed questions were applied, as well as a questionnaire containing the ROMA III criteria. In the end, 847 were considered valid, 792 (93.5%) had some alteration, 36 (4.5%) reports were considered normal, that is, without structural damage and 19 (2.39%) of them did not were released by the patients. The median age group (IIQ) was 37 (30 to 46) years, 549 (64.8%) were female, 617 (72.8%) were from the capital. Among the endoscopic findings, the diagnosis of gastritis was statistically significant (p<0.001), with 661 (89.2) cases. The most prevalent percentages were the reports with the diagnosis of esophagitis 168 (22.7%) and polyp 54 (6.4%). Of the 54 patients who had polyps, 49 (90.7%) were gastric, 4 (6.3%) esophageal and 3 (3.1%) duodenal. Conclusion: Most patients with dyspeptic complaints had structural changes seen in the EGD that justified the presence of symptoms.

References

Akram, B., Mohammed, S. S., Mohammed, A. A., & Obaid, K. A. (2019). Significance of Endoscopyic Findings in Patients with Dyspepsia in Diyala Province-Iraq Hospital Based Study. Diyala Journal of Medicine, 17(2), 107-114.

Alves, J. S. (2006). Análise dos achados endoscópicos em clínica de endoscopia no período de 1991 a 2001: avaliação crítica da contribuição da endoscopia para diagnóstico do paciente dispéptico: estudo retrospectivo.

Antunes, M. O., de Oliveira, H. L. A., Nunes, M. E., & de Oliveira, M. V. M. (2015). Ansiedade e Estresse em Indivíduos Diagnosticados com Gastrite. Revista Bionorte, 4(1), 1-8.

Chehreh, M. G., Shahverdi, E., Khedmat, H., Ghafoorian, A., & Amini, M. (2016). Endoscopic Findings in Patients with Dyspepsia in Iran. J Dig Dis, 2(3), 211-19.

Durães, E. S. M., Fabris, M. R., Faraco, A. J., Madeira, K., & Luca, L. R. D. (2010). Análise dos achados endoscópicos em pacientes com dispepsia atendidos no Serviço de Endoscopia do Hospital São João Batista, Criciúma-SC, no período de outubro de 2008 a março de 2009. GED gastroenterol. endosc. dig, 73-78.

Fonseca, A. L. P., D'Acampora, A. J., Zeni, L. B., Sombrio, L. S., & Oliveira, S. C. V. D. (2014). Análise dos achados endoscópicos mais comuns em pacientes com sintomas dispépticos. GED gastroenterol. endosc. dig, 92-101.

Ford, A. C., Marwaha, A., Sood, R., & Moayyedi, P. (2015). Global prevalence of, and risk factors for, uninvestigated dyspepsia: a meta-analysis. Gut, 64(7), 1049–1057. https://doi.org/10.1136/gutjnl-2014-307843

Genta, R. M. (2005, November). Differential diagnosis of reactive gastropathy. In Seminars in diagnostic pathology (Vol. 22, No. 4, pp. 273-283). WB Saunders.

Heikkinen, M., Pikkarainen, P., Takala, J., Räsänen, H., & Julkunen, R. (1995). Etiology of dyspepsia: four hundred unselected consecutive patients in general practice. Scandinavian journal of gastroenterology. 30(6), 519–523. https://doi.org/10.3109/00365529509089783

Johnsen, R., Bernersen, B., Straume, B., Førde, O. H., Bostad, L., & Burhol, P. G. (1991). Prevalences of endoscopic and histological findings in subjects with and without dyspepsia. British Medical Journal, 302(6779), 749-752.

Koduru, P., Irani, M., & Quigley, E. (2018). Definition, Pathogenesis, and Management of That Cursed Dyspepsia. Clinical gastroenterology and hepatology: the official clinical practice journal of the American Gastroenterological Association, 16(4), 467–479. https://doi.org/10.1016/j.cgh.2017.09.002

Longstreth, G. F., Lacy, B. E., Talley, N. J., & Grover, S. (2013). Approach to the adult with dyspepsia.

López-Medina, G., de León, R. C. D., Heredia-Salazar, A. C., & Hernández-Salcedo, D. R. (2014). Gastric Emphysema a Spectrum of Pneumatosis Intestinalis: A Case Report and Literature Review. Case reports in gastrointestinal medicine, 2014, 891360.

Magalhães, E., de Moraes, G. B. P., & Braga, M. S. (2018). Abordagem Médica e Psíquica na Dispepsia Funcional-Gastrite Nervosa.

Matsuda, N. M., Maia, C. C., & Troncon, L. E. D. A. (2010). Dispepsia funcional: revisão de diagnóstico e fisiopatologia. Diagn. tratamento.

Oliveira, S. (2001). Prevalência e fatores associados à dispepsia em adultos na cidade de Pelotas, RS, 1999-2000 [dissertação]. Pelotas, RS.: Universidade Federal de Pelotas.

Piatek-Guziewicz, A., Przybylska-Feluś, M., Dynowski, W., Zwolińska-Wcisło, M., Lickiewicz, J., & Mach, T. (2014). Endoscopic and histopathological findings of the upper gastrointestinal tract in patients with functional and organic dyspepsia. Przeglad lekarski, 71(4), 204-209.

Pineda, L. F., Rosas, M. C., Amaya, M. T., Rodríguez, Á., Luque, A., Agudelo, F., & Sabbagh, L. (2015). Guía de Práctica Clínica para el diagnóstico y tratamiento de la dispepsia en adultos. Revista Colombiana de Gastroenterología, 30(1), 9-16.

Silva, F. M. (2008). Dispepsia: caracterização e abordagem. Revista de Medicina, 87(4), 213-223.

Thomson, A. B., Barkun, A. N., Armstrong, D., Chiba, N., White, R. J., Daniels, S., Escobedo, S., Chakraborty, B., Sinclair, P., & Van Zanten, S. J. (2003). The prevalence of clinically significant endoscopic findings in primary care patients with uninvestigated dyspepsia: the Canadian Adult Dyspepsia Empiric Treatment - Prompt Endoscopy (CADET-PE) study. Alimentary pharmacology & therapeutics, 17(12), 1481–1491. https://doi.org/10.1046/j.1365-2036.2003.01646.x

Troncon, L. D. A. (1997). Gastroparesias: revisão de aspectos relacionados ao conceito, à etiopatogenia e ao manejo clínico. Revista da Associação Médica Brasileira, 43(3), 228-236.

Zagari, R. M., Law, G. R., Fuccio, L., Pozzato, P., Forman, D., & Bazzoli, F. (2010). Dyspeptic symptoms and endoscopic findings in the community: the Loiano-Monghidoro study. The American journal of gastroenterology, 105(3), 565–571. https://doi.org/10.1038/ajg.2009.706

Published

21/10/2021

How to Cite

SALES, K. M. S.; SILVA, W. S. .; CARVALHO, G. P. S. de .; FONSECA, A. M. L. .; SILVA, G. P. O. .; VIAGGI, T. C. .; ARAGÃO, B. C.; FONSECA, A. M. R.; BRAGA, A. F. L. da R. .; CHAGAS, A. M. B. .; GUIMARÃES, B. M. de A. .; TRINDADE, L. M. D. F. .; LIMA, F. S. de . Endoscopic findings in patients with dyspeptic symptoms . Research, Society and Development, [S. l.], v. 10, n. 13, p. e562101321619, 2021. DOI: 10.33448/rsd-v10i13.21619. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/21619. Acesso em: 4 dec. 2021.

Issue

Section

Health Sciences