Clinico-Endoscopic profile of Egyptian Patients presenting with Upper Gastrointestinal Symptoms

Background: Symptoms of the upper gastrointestinal tract are frequently reported in clinical settings, and gastrointestinal disorders account for substantial medical utilization and loss of productivity. Aim and objectives: To investigate and compare the endoscopic results and diagnosis with the clinical profile of adult patients experiencing upper gastrointestinal problems. Also, we need to detect the alarming features and their final impact on our target patients. Also, the prevalence of the problem among different Egyptian populations should be assessed. Subjects and methods: 400 patients were involved in the current investigation who presented to the Internal Medicine department in Al-Hussein University Hospital with upper gastrointestinal symptoms and were indicated for upper endoscopy. Result: The most prevalent complaints in the general public are related to upper gastrointestinal (GI) disorders, which carry a significant chance of morbidity and mortality. Because life-threatening consequences can be avoided with early identification and proper treatment of the illness, a gastrointestinal endoscopy is a proper diagnostic and therapeutic technique when a patient presents with upper gastrointestinal symptoms. Conclusion: Abdominal pain was the most commonly reported complaint in 35.0% of cases, followed by hematemesis and melena in 39.8%. Dysphagia was reported in 10.0% of cases, heartburn was reported in 6.0% of cases, and nausea and vomiting were reported in 9.2% of cases. Gastritis was the most frequent diagnosis in 21.2% of cases, followed by esophageal varices in 16.5% of patients, then antral gastritis was reported in 14% of patients. We observed suspicious gastric masses in 1.8% of patients.