Please use this identifier to cite or link to this item: http://repository.kln.ac.lk/handle/123456789/12579
Title: Gastric disease in patients presenting with dyspeptic symptoms
Authors: Hewavisenthi, S.J.de S.
Suranimala, H.D.C.
Alwis, W.H.D.
Keywords: Stomach Diseases
Issue Date: 2002
Publisher: Sri Lanka Medical Association
Citation: Sri Lanka Medical Association, 115th Anniversary Academic Sessions. 2002; 29
Abstract: INTRODUCTION: Upper gastrointestinal endoscopy and biopsy is a relatively common procedure that is now frequently used in the investigation of patients with 'dyspeptic symptoms'. OBJECTIVES: To correlate the endoscopic findings with histological features. To ascertain patterns of gastric disease occurring in patients undergoing upper gastrointestinal endoscopy and biopsy for dyspeptic symptoms. METHODS: 419 endoscopic biopsies performed on patients with dyspeptic symptoms during the period April 2000 to October 2001 were reviewed. In all patients biopsies were performed on an area of the gastric mucosa showing an endoscopic abnormality. The patients included 258 males and 161 females with ages ranging from 11-86 years (median 45.5). Most biopsies were obtained from the antral region (322/419). RESULTS: 110/419 (26%) biopsies were histologically normal despite an 'endoscopic abnormality' being reported. 15 biopsies (3.5%) were non-diagnostic due to biopsy artefacts, poor preservation and other factors. 13/419 (3%) biopsies revealed neoplastic lesions (11- malignant, 2-fundic gland cysts). Of the non neoplastic gastric disorders 33 (7.9%) were peptic ulcers, 202 (48%) chronic gastritis, 40 (9.5%) reactive gastritis, 6 (1%) portal gastropathy, 1 hyperplastic gastropathy. Helicobactorpylori was identified in 112/202 (55%) of the biopsies with chronic gastritis. CONCLUSIONS: Endoscopic and histologic correlation was satisfactory in a majority, 74% of the biopsies showing histological evidence of disease. Helicobactor pylori induced gastritis was the commonest (27%) pathology encountered in patients investigated for dyspeptic symptoms.
Description: Oral Presentation Abstract (OP 12), 115th Anniversary Academic Sessions, Sri Lanka Medical Association, 20-23 March 2002 Colombo, Sri Lanka
URI: http://repository.kln.ac.lk/handle/123456789/12579
ISSN: 0009-0895
Appears in Collections:Conference Papers

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.