Endoscopy in Dyspepsia: “Open-Access” Approach

Short communication


T. N. L. Mazumdar, M. H. Chowdhury

Department of Medicine, Faculty of Medicine,Garyounis University, Benghazi, S.P.L.A.J

Garyounis Medical Journal Vol. 4, No.2. July 1981:93-95


Rationality of a sophisticated procedure like fibreoptic endoscopy as a routine procedure in investigating dyspepsia is often debated. A retrospective analysis was made of the results of the patients who had undergone a procedure of upper gastrointestinal endoscopy during the period of December, 1979 to October, 1980. Of the 208 patients referred for endoscopy, 155 presented with dyspepsia for more than 2 week’s duration. Sixty four (41.29%) patients had a specific disease of upper gastrointestinal tract including 10 (6.45%) with carcinoma. A further 47 (30.32%) had mucosal disease and only 44 (28.39%) patients had no abnormality. The positive benefits of an “open access” endoscopy is thus re-established. A negative endoscopic diagnosis in many resulted in discontinuation of expensive drugs like cimetidine and/or carbenoxolone prescribed empirically. It is emphasised that finding a normal upper gastrointestinal tract on endoscopy is no less important than detecting a specific lesion.

Keywords: Endoscopy in Dyspepsia: “Open-Access” Approach