Endoscopic Observation Around the Gastroesophageal Junction in Patients with Symptomatic Reflux Disease


  • Author- Muhammad Usama, Muhammad Naeem Afzal, Tabish Raza, Muhammad Arif Nadeem


The study was done to determine the endoscopic findings around the gastro esophageal junction in patient with symptomatic reflux disease.


This was a Cross sectional study, conducted in Gastroenterology Ward (M-III), Services Hospital Lahore from 15-03-2016 to 14-09-2017. Two hundred and fifty patients were enrolled in the study. Demographic data was collected from each patient. Patients were evaluated for the presence of various abnormalities on endoscopy (i.e., RE, HH and CLE). All data was collected through a predefined proforma. Data was analyzed through SPSS version 21.


  Mean age of patients was 34.40+3.78. Most of the patients (54%) were between the ages of 31-50 years. Majority of the patient were male. Endoscopic findings in the patients of gastroesophageal reflux disease (GERD) include reflux esophagitis (RE), hiatus hernia (HH) and columnar lined esophagitis (CLE) with prevalence of 11.9%, 16.2% and 10% respectively. A total of 62% patients have normal endoscopy. There was no significant relationship between age, sex, duration of GERD, presence of DM and HTN with endoscopic findings.


  Majority of the patients with clinical GERD have normal endoscopic findings and other findings include RE, HH and CLE with prevalence of 11.9%, 16.2% and 10%.


GERD, Endoscopy Hiatus Hernia