Endoscopic and Histological Findings in Patients With Epigastric Pain

Aims Epigastric pain is one of the major common complaints in clinical medicine. Upper gastrointestinal endoscopy (UGE) is the most important diagnostic examination for patients with epigastralgia.

The aim of our study is to evaluate the prevalence of endoscopic findings in patients presenting with epigastric pain

Methods This is a retrospective study that collects all patients with epigastric pain who had undergone UGE between January 2018 and October 2020. The different endoscopic and histological findings were noted.

Results Out of 300 patients who were included in this study, 169 (56,3 %) were women and 131 (43,7 %) men. Their age ranged from 14 to 86, with a mean of 47 years.

All patients had epigastric pain. The other associated symptoms were: heartburn and regurgitation (25 patients, 8 %), vomiting (14 patients, 4,1 %) and anemia (6 patients, 4 %). UGE was normal in 7 % of patients. The different endoscopic abnormalities found were: Erythematous gastritis (n = 132, 45 %), duodenal ulcer (n = 31, 10,3 %), Esophagitis (n = 30, 10 %), Erythematous bulbitis (n = 30, 10 %), nodular gastritis (n = 23, 7,33 %) and neoplasia (n = 2) .

Biopsies were performed in 52 % of patients with abnormal UGE. The anatomopathological study revealed chronic gastritis in 98,4 % of patients with presence of Helicobacter pylori infection in 73,7 % of cases. Gastritis was active in 80 % of cases. Fundic atrophy was present in 18 patients (14 %), seven patients had intestinal metaplasia (5 %). Two cases of gastric adenocarcinoma were identified.

Conclusions The endoscopic diagnosis of epigastric pain in our study showed a predominance of erythematous gastritis with a high prevalence of Helicobacter Pylori.

Citation: Zaouga S, Mrabet S, Harbi R et al. eP65 ENDOSCOPIC AND HISTOLOGICAL FINDINGS IN PATIENTS WITH EPIGASTRIC PAIN. Endoscopy 2021; 53: S117.

Publikationsverlauf

Artikel online veröffentlicht:
19. März 2021