ENDOSCOPIC FINDINGS IN NON ULCER DYSPEPSIA; A NEW PERSPECTIVE

Patients falling into the Rome III criteria i.e. one of three symptoms for last 3 months within the initial of six month of symptoms onset 1) postprandial fullness, 2) early satiety and 3) epigastric pain or burning and absence of any organic lesion defined after history, physical examination follow...

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Bibliographic Details
Published in:Pakistan Armed Forces medical journal 2017-10 (5), p.698-701
Main Authors: Hafeez, Muhammad, Sarfraz, Tariq, Tariq, Humaira
Format: Article
Language:English
Subjects:
Age
Antiulcer agents
Bile
Biopsy
Cholecystectomy
Computer industry
Dyspepsia
Endoscopy
Gastroenterology
Medical research
Pain
Stomach
Systematic review
Ulcers
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Summary:Patients falling into the Rome III criteria i.e. one of three symptoms for last 3 months within the initial of six month of symptoms onset 1) postprandial fullness, 2) early satiety and 3) epigastric pain or burning and absence of any organic lesion defined after history, physical examination followed by upper GI endoscopy were included in the study. Patients with organic disease like, gastric esophageal reflux disease (GERD), peptic ulcer or malignancy confirmed on the upper GI endoscopy, used NSAIDS one week before and H2 antagonist or proton pump inhibitors (PPI) two weeks before endoscopy, were excluded from the study. In our study, bile reflux was found in 52% of the non-ulcer dyspeptic symptoms, out of which 56.7% had chronic inflammation on histopathology and only 9% out of them had previous gall bladder surgery and none of them had gastric surgery. Duodenogastric bile reflux associated gastritis contributed more than H. Pylori gastritis to non-ulcer dyspepsia.
ISSN:0030-9648
2411-8842