Upper endoscopic findings in young adult patients with uninvestigated dyspepsia.

Abstract

Introduction: Dyspepsia is classified into organic and functional dyspepsia (FD) based on the endoscopic results.Endoscopy is still a critical step in the diagnosis and treatment of dyspepsia.This study aims to clarify the major endoscopic findings in young dyspeptic patients in Sohag University Hospital.Patients and methods:A retrospective, cross-sectional research.Inclusion standards:Age included was 18 to 40 years old, at least one of the following was present in the patients: Postprandial satiety, early satiety and or epigastric pain.Exclusion standards:Weight loss, anemia, persistent vomiting, cancer, liver disease, gallstones, cholecystitisResults:The total number of patients included in this study was 104 patients, 58 male (55.8%) ,46 female (44.2%). There were 46 patients (44.2%) presented by epigastric pain, 15 patients (14.4%) presented by early satiety, 31 patients (29.8%) presented by fullness and 12 patients (11.5%) presented by overlap symptoms. Endoscopy showed normal findings in 13 patients (12.5%), esophagitis in 12 patients (11.5%), H. pylori gastritis in 53 patients (51%), duodenal ulcer in 12 patients (11.5%), gastric ulcer in 1 patient (1%), malignancy in 2 patients (1.9%). Discussion:H., pylori resemble the major endoscopic findings, no statistically significant correlation between presenting symptoms and endoscopic findings except for Duodenal ulcer, there was statistically significant increased percentage of duodenal ulcer in patients presented by overlap symptoms (5 patients, 41.7%) when compared with patients presented by epigastric pain (4 patients, 8.7%).Conclusion: H., pylori gastritis is common among young dyspeptic patients.