Endoscopic correlation of clinical presentation of gastroesophageal reflux disease among patients referred for gastroscopy in a tertiary hospital
1 Department of Internal Medicine, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
2 Department of Physiology, Usmanu Danfodiyo University, Sokoto, Nigeria.
Research Article
World Journal of Advanced Research and Reviews, 2020, 06(02), 037-043
Article DOI: 10.30574/wjarr.2020.6.2.0124
Publication history:
Received on 24 April 2020; revised on 04 May 2020; accepted on 06 May 2020
Abstract:
Gastroesophageal reflux disease (GERD) is a leading indication for gastroscopy and a common cause of serious complications among patients with dyspeptic symptoms. Ethnic variability, gender and geographical locations are some of the factors that determine severity index and complications of GERD. Upper gastrointestinal endoscopy is a reliable method used in confirming clinical suspicion of GERD. This study aimed to determine the endoscopic correlation of clinical presentations and frequency of complications among patients with clinical diagnosis of GERD referred for gastroscopy. Hospital-based cross sectional study conducted between 1stJanuary, 2013 to 31st December, 2016. Sociodemographic characteristics and clinical diagnosis of GERD were evaluated alongside endoscopic findings. Endoscopic findings of oesophagitis, strictures, Barrett’s oesophagus or oesophageal adenocarcinoma were classified as endoscopy positive while those with symptoms but with normal endoscopic finding were classified as endoscopy negative or Non-erosive reflux Disease. One thousand, five hundred and ninety seven patients were referred for gastroscopy within the study period of which 226 were GERD (14.2%) using the self-administered questionnaire. One hundred and seven (47.3%) were males, with M: F ratio of 1:1.1. Mean age 38.5, SD± 13.1, and range of 15-75 years. The peak age occurred within the fourth decade of life (32.7%). One hundred and seventy seven (78.3%) were endoscopy positive, while 49 (21.7%) were endoscopy negative GERD. Los Angeles grade B was the highest prevalence 41.2%. GERD is not uncommon in our study and younger age groups are particularly more affected. Erosive esophagitis is the commonest complication encountered.
Keywords:
Endoscopic; correlation clinical; Gastroesophageal reflux disease; gastroscopy
Full text article in PDF:
Copyright information:
Copyright © 2020 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0