WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Safa Mustafa Saleh*, Selwa Elias Yacoub, Altun Mahmud Saleh

ABSTRACT

Background: Esophagogastroduodenoscopy is one of the most commonly performed endoscopic procedures., it provides valuable information in patients with upper gastrointestinal conditions. Aim of the study: To explore the results of Endoscopy and histopathology of adult patients in relation to their clinical findings. Subjects and methods: A cross-sectional study using retrospective data was conducted on 200 patients attending gastroenterology center in Rizgary Teaching Hospital in Erbil City/Iraq for the period from 1st of February 2024 to the 30th of June 2024. The data of the formal record of every patient was utilized related to their sociodemographic characteristics and their clinical presentations. The results of endoscopy reports gave the provisional diagnosis while the results of histopathology considered the final diagnosis for the included patients. Results: In this study, the most common clinical presentation was epigastric pain, anemia and dyspepsia (77.5%, 43% and 39% respectively). The most frequent diagnosis revealed by Esophagogastroduodenoscopy was gastropathy/gastritis in nearly half of the patients, followed by gastric ulcer (20.5%), and Gastroesophageal reflux disease (17.5%). Results of histopathology showed the most frequent diagnosis was gastric ulcer (34.5%), followed by duodenal ulcer (28.5%) and gastropathy/gastritis (19%). Concerning the diagnostic performance of Esophagogastroduodenoscopy; the sensitivity ranged from 42.1% in duodenal ulcer to 100% in GERD, as regards to its specificity, it ranged from 55.6% in gastropathy/gastritis to 100% in malignancy and duodenal ulcer. Conclusions: Epigastric pain, anemia and dyspepsia, were the most frequent clinical presentation of patients referred for Esophagogastroduodenoscopy. It`s sensitivity found to be 100% in diagnosing patients with Gastroesophageal reflux disease while its specificity was 100% in diagnosing malignancy and duodenal ulcer.