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Scholars Journal of Applied Medical Sciences | Volume-3 | Issue-01
Endoscopic Evaluation of Patients Presenting with Heartburn
Arvind Chouhan, Amit Verma, Subhash Chandra, Jijo Verghese
Published: March 30, 2015 |
117
110
DOI: 10.36347/sjams.2015.v03i01.068
Pages: 342-347
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Abstract
Gastroesophageal reflux disease (GERD) is a common disorder affecting a large section of the community. In
addition, the numerous complications of chronic GERD especially Barrett’s oesophagus necessitate adequate diagnosis
and treatment of this common entity. This study was designed to analyze the spectrum of GERD based on presenting
symptoms and endoscopic findings, and analyze the contributory factors. A prospective study was conducted on the
patients visiting the medicine OPD at Department of Medicine, G.R. Medical College, Gwalior (M.P.) between July 2013
to November 2014 with symptoms suggestive of GERD. The clinical symptoms, possible risk factors and endoscopic
findings were studied and analysed. A total of 100 patients were included in the study. The numbers of male patients
(59%) was more than females. Most of the patients were in the age group 21-60 years (81%). The most common
symptoms) other than heartburn (100%) were belching (89%), regurgitation (83%), abdominal pain (60%), vomiting
(26%) and water brash (24%). History of smoking was present in 27% and alcohol consumption in 17%. BMI was <25 in
90% of the cases whereas on considering the waist to hip ratio (WHR), 31% were classified as obese. 52% of the patients
had endoscopy positive lesions. 23% patients have esophagitis and 17% have gastritis 5% patients had hiatus hernia and
2% showed associated lesions like duodenitis/duodenal ulcers, 2% had sessile nodule and 2% had Barrett’s oesophagus
out of them 1 patients had adenocarcinoma proven by histopathology.