Low Prevalence of Clinically Significant Endoscopic Findings in Outpatients with Dyspepsia
Joint Authors
Qayed, Emad S.
Abdeljawad, Khaled
Wehbeh, Antonios
Source
Gastroenterology Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-22
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
The value of endoscopy in dyspeptic patients is questionable.
Aims.
To examine the prevalence of significant endoscopic findings (SEFs) and the utility of alarm features and age in predicting SEFs in outpatients with dyspepsia.
Methods.
A retrospective analysis of outpatient adults who had endoscopy for dyspepsia.
Demographic variables, alarm features, and endoscopic findings were recorded.
We defined SEFs as peptic ulcer disease, erosive esophagitis, malignancy, stricture, or findings requiring specific therapy.
Results.
Of 650 patients included in the analysis, 51% had a normal endoscopy.
The most common endoscopic abnormality was nonerosive gastritis (29.7%) followed by nonerosive duodenitis (7.2%) and LA-class A esophagitis (5.4%).
Only 10.2% had a SEF.
Five patients (0.8%) had malignancy.
SEFs were more likely present in patients with alarm features (12.6% versus 5.4%, p=0.004).
Age ≥ 55 and presence of any alarm feature were associated with SEFs (aOR 1.8 and 2.3, resp.).
Conclusion.
Dyspeptic patients have low prevalence of SEF.
The presence of any alarm feature and age ≥ 55 are associated with higher risk of SEF.
Endoscopy in young patients with no alarm features has a low yield; these patients can be considered for nonendoscopic approach for diagnosis and management.
American Psychological Association (APA)
Abdeljawad, Khaled& Wehbeh, Antonios& Qayed, Emad S.. 2017. Low Prevalence of Clinically Significant Endoscopic Findings in Outpatients with Dyspepsia. Gastroenterology Research and Practice،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1156333
Modern Language Association (MLA)
Abdeljawad, Khaled…[et al.]. Low Prevalence of Clinically Significant Endoscopic Findings in Outpatients with Dyspepsia. Gastroenterology Research and Practice No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1156333
American Medical Association (AMA)
Abdeljawad, Khaled& Wehbeh, Antonios& Qayed, Emad S.. Low Prevalence of Clinically Significant Endoscopic Findings in Outpatients with Dyspepsia. Gastroenterology Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1156333
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1156333