Hallazgos clínicos, endoscópicos altos e histológicos de pacientes con síntomas dispépticos atendidos en el Hospital José Carrasco Arteaga durante 2010-2011

Abstract

Introduction: Dyspepsia is a common symptomatology in daily medical practice, affects notably patients’ quality of life.- The prevalence of clinically significant upper gastrointestinal findings in adult patients and their predictability is unknown.- Objective: To determine frequency of clinical, endoscopic and histological findings in patients with dyspeptic symptoms treated at Gastroenterology Unit of José Carrasco Arteaga Hospital in Cuenca from January 2010 to December 2011.- ethodology: A descriptive epidemiological study of cross section was conducted, from January 2010 to December 2011. The population consisted of all patients with dyspeptic symptoms who attended the service that met the inclusion and exclusion criteria established underwent upper gastrointestinal endoscopy, and samples were taken for histological research. The data were transcribed AS400 system to the respective forms, which were analyzed with SPSS 19.0.- Results: We reviewed 2795 patients’ records, the most common age group is between 46 and 60 years old (36.1%), predominantly female (60.4%), the most frequently reported symptom was epigastric pain (84.3 %), followed by abdominal distension (50.5%). Functional dyspepsia was the most frequent endoscopic finding (60.5%) versus organic dyspepsia (39.5%). The most frequent significant endoscopic findings were erosions (16.1%) and esophagitis (12.5%). Infection by H. pylori was present in 61.6%. The chronic active gastritis histological finding was observed more frequently (36.6%). Conclusion: Features observed among population of Cuenca city don’t differ too much from the international studies reviewed.AU