Repeat Upper Gastrointestinal Endoscopy in Patients with Functional Dyspepsia: Yield, Findings, and Predictors of Positive Findings
Joint Authors
Pongprasobchai, Supot
Asanaleykha, Natta
Tantayakom, Pongchirat
Source
Gastroenterology Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-12
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
No guideline on repeat esophagogastroduodenoscopy (EGD) in functional dyspepsia (FD) exists.
This study aimed to define yield, findings, and predictors of positive findings on repeat EGD in FD.
Methods.
FD patients who underwent at least 2 EGDs during October 2005 to November 2011 were enrolled and reviewed.
Yield and findings were analyzed and univariate and multivariate analyses were performed to identify predictors of positive repeat EGD.
Results.
The median time to repeat EGD was 34 months.
Among 146 patients, 115 patients (79%) had negative and 31 (21%) had positive repeat EGD, including erosive gastritis (13.0%), peptic ulcer (7.5%), reflux esophagitis (1.4%), and Barrett’s esophagus (0.7%).
Four independent predictors of positive repeat EGD were smoking (HR 3.88, 95% CI 1.31–11.51, P=0.015), hypertension (HR 2.96, 95% CI 1.38–6.36, P=0.050), history of malignancies (HR 3.65, 95% CI 1.16–11.46, P=0.027), and antiplatelets or NSAIDs used within 4 weeks (HR 4.10, 95% CI 1.13–14.90, P=0.032), while alarm features or failure to treatment did not predict positive repeat EGD.
Conclusion.
Yield of repeat EGD in FD was substantially low, all findings were acid-related disorders, and there was no malignancy.
Smoking, hypertension, history of malignancies, and antiplatelets/NSAIDs use associated with positive repeat EGD.
American Psychological Association (APA)
Pongprasobchai, Supot& Asanaleykha, Natta& Tantayakom, Pongchirat. 2015. Repeat Upper Gastrointestinal Endoscopy in Patients with Functional Dyspepsia: Yield, Findings, and Predictors of Positive Findings. Gastroenterology Research and Practice،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1064146
Modern Language Association (MLA)
Pongprasobchai, Supot…[et al.]. Repeat Upper Gastrointestinal Endoscopy in Patients with Functional Dyspepsia: Yield, Findings, and Predictors of Positive Findings. Gastroenterology Research and Practice No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1064146
American Medical Association (AMA)
Pongprasobchai, Supot& Asanaleykha, Natta& Tantayakom, Pongchirat. Repeat Upper Gastrointestinal Endoscopy in Patients with Functional Dyspepsia: Yield, Findings, and Predictors of Positive Findings. Gastroenterology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1064146
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1064146