Simple jQuery Dropdowns
Please use this identifier to cite or link to this item:
Title: Repeat upper gastrointestinal endoscopy in patients with functional dyspepsia: Yield, findings, and predictors of positive findings
Authors: Supot Pongprasobchai
Natta Asanaleykha
Pongchirat Tantayakom
Mahidol University
Keywords: Medicine
Issue Date: 1-Jan-2015
Citation: Gastroenterology Research and Practice. Vol.2015, (2015)
Abstract: © 2015 Supot Pongprasobchai et al. No guideline on repeat esophagogastroduodenoscopy (EGD) in functional dyspepsia (FD) exists. This study aimed to define yield, findings, and predictors of positive findings on repeat EGD in FD. Methods. FD patients who underwent at least 2 EGDs during October 2005 to November 2011 were enrolled and reviewed. Yield and findings were analyzed and univariate and multivariate analyses were performed to identify predictors of positive repeat EGD. Results. The median time to repeat EGD was 34 months. Among 146 patients, 115 patients (79%) had negative and 31 (21%) had positive repeat EGD, including erosive gastritis (13.0%), peptic ulcer (7.5%), reflux esophagitis (1.4%), and Barrett's esophagus (0.7%). Four independent predictors of positive repeat EGD were smoking (HR 3.88, 95% CI 1.31-11.51, P=0.015), hypertension (HR 2.96, 95% CI 1.38-6.36, P=0.050), history of malignancies (HR 3.65, 95% CI 1.16-11.46, P=0.027), and antiplatelets or NSAIDs used within 4 weeks (HR 4.10, 95% CI 1.13-14.90, P=0.032), while alarm features or failure to treatment did not predict positive repeat EGD. Conclusion. Yield of repeat EGD in FD was substantially low, all findings were acid-related disorders, and there was no malignancy. Smoking, hypertension, history of malignancies, and antiplatelets/NSAIDs use associated with positive repeat EGD.
ISSN: 1687630X
Appears in Collections:Scopus 2011-2015

Files in This Item:
There are no files associated with this item.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.