Journal de gastroentérologie clinique

Randomized controlled preliminaries (RCTs) are considQ2 ered the best quality level to fill proof holes in Q3 medication. In any case, RCTs are not generally plausible — they Q4 can require quite a long while to finish and be restrictively costly, or can require examination of man comparator arms to track down fitting proof. Indeed at the point when RCTs are plausible, they may not give all significant information expected to illuminate clinical choices or wellbeing strategy. Under such circumstances, other notable techniques m of relative viability, for example, observational studies and meta-investigations, could fill proof holes. structure to consolidate the best that anyone could hope to find Q5 proof from various sources and illuminate "ideal" choices under various conditions,

Background: Dyspepsia is one of the commonest presentations of gastrointestinal disorders in our region with a Global prevalence of between 7-45% and a regional prevalence of 65%. Most studies on dyspepsia have differences in findings and proposed standard of care. The current practices in our setting are centered on blood and stool Helicobacter pylori antigen and antibody investigations and initial treatment with PPIs and antibiotics before referral for endoscopy and biopsy. This study is to describe the commonest presenting complaints, endoscopy and histopathology findings in patients with dyspepsia in our setting.

Methods: A descriptive cross-sectional study in which 115 dyspeptic patients who presented to St Francis hospital, Nsambya underwent endoscopy and biopsy. Consecutive sampling was used.

Results: Dyspepsia prevalence was more among the male at 53.9% than the female at 46.1%. The mean age of participation in this study was 53 years. The commonest presenting complaint was epigastric pain which was noted in 63.6% of the participants followed by hematemesis in 14.3% and vomiting feeds in 6.4%. Most of the patients at presentation had only one clinical symptom (80.9%) while those with more than one presenting symptom were (19.1%). There was no relationship between the age and sex and the presenting complaints among patients with p=0.290 and p=0.680 respectively. The commonest findings at endoscopy were gastritis-73 participants, followed by PUD- 23, Duodenitis- 22, GERD-17, Oesophagitis-15, Tumor-11, Hernia-9, Polyps-4. No normal findings were noted at endoscopy. At histology, there was no reported normal mucosa, the most common finding was gastritis in 62.6% of the patients. 10.4% participants had gastric malignancy and 1.7% had intestinal metaplasia. Of 3 patients diagnosed with Peptic ulcer disease at endoscopy, 2 had intestinal metaplasia and one had gastrointestinal stromal tumor at histology. The concordance rate between endoscopy and histology was 76.9%