Original Research

Upper Gastrointestinal Endoscopy A Clinical Audit of Indications and Diagnosis. A 5-Year Data Analysis of Tertiary Care Centre

Ayesha Waheed
Ghurki Trust Teaching Hospital / Lahore Medical & Dental College Lahore
Talha Ghafoor Sial
Ghurki Trust Teaching Hospital / Lahore Medical & Dental College Lahore
Mehrin Farooq
Ghurki Trust Teaching Hospital / Lahore Medical & Dental College Lahore
Shamail Zafar
Ghurki Trust Teaching Hospital / Lahore Medical & Dental College Lahore

✉ Correspondence: Mehrin Farooq Email: mehrinfarok@gmail.com

DOI https://doi.org/10.70302/jpsim.v5i3.2445
Volume: 5, Issue 3 Pages: 587–590 Published: 30 Aug 2024
Received: 16 Feb 2024 Accepted: 07 Aug 2024 Published Online: 30 Aug 2024

Abstract

Objective

The primary objective of this clinical audit is to evaluate the indications for upper GI endoscopy, assess the diagnostic yield, and identify the prevalence of diseases diagnosed during these procedures in a tertiary care centre.

Methods

This study of 864 patients took place at Department of Medicine/Gastroenterology, Ghurki Trust Teaching Hospital Lahore. A collaborative team, including experienced Gastroenterologist, Physicians, nurses, and data analysts, undertook a comprehensive review of upper GI endoscopy records. Detailed criteria for indications, diagnostic efficacy, and specific disease diagnoses were established, as per established clinical guidelines and prior research. Data was analyzed using SPSS Statistics version 24.

Results

Out of 864 patients, 440 (50.9%) were females and 424 (49.0%) males making it approximately 1:1. Epigastric pain was the primary indication for UGIE (n=263) (30.4%) followed by Retrosternal burning (n=123) (14.2%). The commonest age group for endoscopy was 31- 40years (n=197) (22.8%). GERD, Gastritis, Duodenitis were the commonest findings on UGIE. Only 34 (3.93%) patients had no positive finding. Corrosive intake history had the lowest indication rate (n=18) (2.08%) present only in females.

Conclusion

This clinical audit contributes to a more informed and evidence-based approach to upper GI endoscopy. Epigastric pain was the most common indication and GERD was the predominant finding. By assessing indications, diagnostic efficacy, and diseases diagnosed, we aim to optimize the utilization of this procedure, enhance diagnostic precision, and improve patient outcomes for those with upper GI disorders.

Keywords
Endoscopy Gastritis GERD Pain Epigastrium

How to Cite This Article

Waheed A, Sial TG, Farooq M, Zafar S. Upper Gastrointestinal Endoscopy A Clinical Audit of Indications and Diagnosis. A 5-Year Data Analysis of Tertiary Care Centre. J Pak Soc Intern Med. 2024;5(3):587–590. doi:10.70302/jpsim.v5i3.2445

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Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

Funding

No specific funding was received for this research.

Funder information follows the Crossref Funder Registry standard.

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CC BY CC BY 4.0 This article is published under the Creative Commons Attribution 4.0 International License. May be shared and adapted with attribution. © 2024 Journal of Pakistan Society of Internal Medicine.
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