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

Authors

Abstract

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

Published

2024/08/30

Issue

Vol. VOLUME 5-Issue 3
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

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