The Study of Correlation between Symptoms of Gastritis and Endoscopic Biopsy.

Shravan R Dave, Jayeshkumar B Bagada, Jitesh H Desai, Shivangi Jha
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Abstract

Background: Gastritis is a very common disorder that is widely distributed worldwide, representing one of the most prevalent pathological entities in gastroenterology and digestive endoscopy. This study aims to analyse the correlation between the endoscopic findings and the symptoms of gastritis. Upper gastro-intestinal (UGI) endoscopy is a widely used investigation for a variety of UGI symptoms namely dysphagia, dyspepsia, abdominal pain, etc., and when combined with biopsy, its diagnostic accuracy get increased manifold.

Materials and methods: This is a study with 70 patients with symptoms of gastritis underwent UGI endoscopy and biopsy included in study. Biopsy was taken from gastric/duodenal mucosa and was sent for histopathology examination. Data of patient's age, gender, food habits, oral hygiene, etc., were then taken into consideration and findings of UGI endoscopy were correlated with these data and also correlated with histopathological report.

Results: Gastritis significantly affects the lifestyle of the majority of our participants as out of 70, 65 (95%) had gastritis in our study. Helicobacter pylori was present among 41.5 % of study participants. Other less common findings were esophagitis in 20 % and duodenitis in 7% of study participants. The mean age of participants were 46.76 ± 16.25 years.

Conclusion: Histopathology plays a major role in diagnosing H. pylori infection. So, histological examination as an adjunct to UGI endoscopy should be considered as best diagnostic tool rather than UGI endoscopy alone or clinical examination or radiological examination alone. It helps to treat the gastritis patients by diagnosing the underlying cause and management accordingly.

胃炎症状与内镜活检之间的相关性研究
背景:胃炎是一种非常常见的疾病,广泛分布于世界各地,是胃肠病学和消化内镜检查中最常见的病理实体之一。本研究旨在分析内镜检查结果与胃炎症状之间的相关性。上消化道(UGI)内镜检查是一种广泛应用于各种上消化道症状(即吞咽困难、消化不良、腹痛等)的检查方法,当与活组织检查相结合时,其诊断准确性会成倍增加:这是一项研究,70 名有胃炎症状的患者接受了 UGI 内窥镜检查和活检。活检取自胃/十二指肠粘膜,并送去进行组织病理学检查。研究还考虑了患者的年龄、性别、饮食习惯、口腔卫生等数据,并将消化道内窥镜检查结果与这些数据进行关联,同时与组织病理学报告进行关联:结果:胃炎严重影响了大多数参与者的生活方式,在 70 名参与者中,有 65 人(95%)患有胃炎。41.5%的参与者患有幽门螺旋杆菌。其他较少见的病症包括食管炎(20%)和十二指肠炎(7%)。参与者的平均年龄为(46.76 ± 16.25)岁:结论:组织病理学在诊断幽门螺杆菌感染中起着重要作用。因此,组织病理学检查作为消化内镜检查的辅助手段,应被视为最佳诊断工具,而不是单纯的消化内镜检查、临床检查或放射检查。它有助于通过诊断潜在病因和相应的治疗方法来治疗胃炎患者。
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