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Endoscopic Findings in Egyptian Patients with Oesophageal Dysphagia at Different Age Groups

Received: 12 October 2015     Accepted: 21 October 2015     Published: 31 October 2015
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Abstract

Dysphagia is the medical term for the symptom of difficulty in swallowing. Dysphagia can occur in all age groups, and its prevalence increases with aging. Diagnosis of dysphagia is important due to associated morbidity and mortality, so it warrants early evaluation. The current study aimed to determine the frequency of common endoscopic findings in Egyptian patients presenting with esophageal dysphagia. This cross-sectional, descriptive study was carried out in the department of Gastroenterology, faculty of medicine, Alexandria University in the period from January 2012 -December 2014. 127 patients with dysphagia were included in the study and were subjected to endoscopy. A total of 127 patients; 73 females (57.5%), and 54 males (42.5%) presenting with dysphagia were studied, the mean age was 49.56±16.41 years. gastro-esophageal reflux (GERD)/reflux esophagitis was the most common findings noted in 25(19.7%) patients, followed by esophageal stricture noted in 22 patients (17.3%), esophageal mass in 21 patients (16.5%), normal endoscopic findings in 20 patients (15.7%), achalasia of the esophagus in 12 patients (9.4%), eosinophilic esophagitis in 6 (4.7%) patients, esophageal web/rings in 5 (3.9%)patients, diffuse esophageal spasm in 4 patients ( 3.1%), foreign body impaction in 2 patients (1.6%), and hiatal hernia in 2 patients (1.6). 8 (6.3%) patients had findings other than the ones mentioned above. We concluded that GERD/reflux esophagitis, and esophageal strictures are the commonest causes of dysphagia in our population. Also malignant esophageal mass is the main cause of dysphagia in elderly population, both warrants early diagnosis and management.

Published in American Journal of Internal Medicine (Volume 3, Issue 6)
DOI 10.11648/j.ajim.20150306.12
Page(s) 224-230
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Dysphagia, Endoscopy, Malignancy, Reflux Esophagitis, Esophageal Stricture

References
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Cite This Article
  • APA Style

    Marwa Ahmed Saad Gouda, Ahmed Ismail Al-lakani, Magdy Mohammed Bedewy. (2015). Endoscopic Findings in Egyptian Patients with Oesophageal Dysphagia at Different Age Groups. American Journal of Internal Medicine, 3(6), 224-230. https://doi.org/10.11648/j.ajim.20150306.12

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    ACS Style

    Marwa Ahmed Saad Gouda; Ahmed Ismail Al-lakani; Magdy Mohammed Bedewy. Endoscopic Findings in Egyptian Patients with Oesophageal Dysphagia at Different Age Groups. Am. J. Intern. Med. 2015, 3(6), 224-230. doi: 10.11648/j.ajim.20150306.12

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    AMA Style

    Marwa Ahmed Saad Gouda, Ahmed Ismail Al-lakani, Magdy Mohammed Bedewy. Endoscopic Findings in Egyptian Patients with Oesophageal Dysphagia at Different Age Groups. Am J Intern Med. 2015;3(6):224-230. doi: 10.11648/j.ajim.20150306.12

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  • @article{10.11648/j.ajim.20150306.12,
      author = {Marwa Ahmed Saad Gouda and Ahmed Ismail Al-lakani and Magdy Mohammed Bedewy},
      title = {Endoscopic Findings in Egyptian Patients with Oesophageal Dysphagia at Different Age Groups},
      journal = {American Journal of Internal Medicine},
      volume = {3},
      number = {6},
      pages = {224-230},
      doi = {10.11648/j.ajim.20150306.12},
      url = {https://doi.org/10.11648/j.ajim.20150306.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20150306.12},
      abstract = {Dysphagia is the medical term for the symptom of difficulty in swallowing. Dysphagia can occur in all age groups, and its prevalence increases with aging. Diagnosis of dysphagia is important due to associated morbidity and mortality, so it warrants early evaluation. The current study aimed to determine the frequency of common endoscopic findings in Egyptian patients presenting with esophageal dysphagia. This cross-sectional, descriptive study was carried out in the department of Gastroenterology, faculty of medicine, Alexandria University in the period from January 2012 -December 2014. 127 patients with dysphagia were included in the study and were subjected to endoscopy. A total of 127 patients; 73 females (57.5%), and 54 males (42.5%) presenting with dysphagia were studied, the mean age was 49.56±16.41 years. gastro-esophageal reflux (GERD)/reflux esophagitis was the most common findings noted in 25(19.7%) patients, followed by esophageal stricture noted in 22 patients (17.3%), esophageal mass in 21 patients (16.5%), normal endoscopic findings in 20 patients (15.7%), achalasia of the esophagus in 12 patients (9.4%), eosinophilic esophagitis in 6 (4.7%) patients, esophageal web/rings in 5 (3.9%)patients, diffuse esophageal spasm in 4 patients ( 3.1%), foreign body impaction in 2 patients (1.6%), and hiatal hernia in 2 patients (1.6). 8 (6.3%) patients had findings other than the ones mentioned above. We concluded that GERD/reflux esophagitis, and esophageal strictures are the commonest causes of dysphagia in our population. Also malignant esophageal mass is the main cause of dysphagia in elderly population, both warrants early diagnosis and management.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Endoscopic Findings in Egyptian Patients with Oesophageal Dysphagia at Different Age Groups
    AU  - Marwa Ahmed Saad Gouda
    AU  - Ahmed Ismail Al-lakani
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    T2  - American Journal of Internal Medicine
    JF  - American Journal of Internal Medicine
    JO  - American Journal of Internal Medicine
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    PB  - Science Publishing Group
    SN  - 2330-4324
    UR  - https://doi.org/10.11648/j.ajim.20150306.12
    AB  - Dysphagia is the medical term for the symptom of difficulty in swallowing. Dysphagia can occur in all age groups, and its prevalence increases with aging. Diagnosis of dysphagia is important due to associated morbidity and mortality, so it warrants early evaluation. The current study aimed to determine the frequency of common endoscopic findings in Egyptian patients presenting with esophageal dysphagia. This cross-sectional, descriptive study was carried out in the department of Gastroenterology, faculty of medicine, Alexandria University in the period from January 2012 -December 2014. 127 patients with dysphagia were included in the study and were subjected to endoscopy. A total of 127 patients; 73 females (57.5%), and 54 males (42.5%) presenting with dysphagia were studied, the mean age was 49.56±16.41 years. gastro-esophageal reflux (GERD)/reflux esophagitis was the most common findings noted in 25(19.7%) patients, followed by esophageal stricture noted in 22 patients (17.3%), esophageal mass in 21 patients (16.5%), normal endoscopic findings in 20 patients (15.7%), achalasia of the esophagus in 12 patients (9.4%), eosinophilic esophagitis in 6 (4.7%) patients, esophageal web/rings in 5 (3.9%)patients, diffuse esophageal spasm in 4 patients ( 3.1%), foreign body impaction in 2 patients (1.6%), and hiatal hernia in 2 patients (1.6). 8 (6.3%) patients had findings other than the ones mentioned above. We concluded that GERD/reflux esophagitis, and esophageal strictures are the commonest causes of dysphagia in our population. Also malignant esophageal mass is the main cause of dysphagia in elderly population, both warrants early diagnosis and management.
    VL  - 3
    IS  - 6
    ER  - 

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Author Information
  • Internal Medicine Department, Geriatric Unit, Faculty of Medicine, Alexandria University, Alexandria, Egypt

  • Internal Medicine, Internal Medicine Department, Gastroenterology Unit

  • Histo-Pathology, Pathology Department, Military Academy Hospital, Alexandria, Egypt

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