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212633

ENDOSCOPIC VERSUS HISTOPATHOLOGIC DIAGNOSIS OF PANGASTRITIS IN NEWLY DIAGNOSED DYSPEPSIA

Article

Last updated: 24 Dec 2024

Subjects

-

Tags

Medicine

Abstract

Background: Gastritis is a very common prevalent pathological entities and endoscopists make judgements on the presence or absence of pangastritis on the basis of endoscopic appearances of the gastric mucosa. Objective: To analyze the correlation between the endoscopic findings and the histological diagnosis of pangastritis in early dyspeptic patients. Patients and methods: In this study was done on 180 patients complaining of newly onset dyspepsia coming to upper endoscopy unit at Al-Hussein University Hospital during from February 2019 until August 2019, after getting informed consent, detailed history was taken from patient that included dietetic, social, medical and family history of malignant diseases. Blood investigation was done, liver function test, kidney function test and complete blood count. Also abdominal ultrasonography was done in fasting patients. Results: By endoscopy we found that 67.8% of patients have pangastritis and by histopathology found that 88.9 % from patients have pangastritis. 66.7 % from studied patients have pangastritis by both endoscopy and histopathology. So, sensitivity of endoscope about 81.8 %, and PPV about 86.9 % and NPV of endoscopy in about 33.3 %. Conclusion: Pangastritis was a common finding in early dyspeptic patients and endoscopy has high sensitivity in diagnosis of pangastritis and normal endoscopic appearance did not rule it out and the histopathology was still the gold standard method for diagnosis.

DOI

10.21608/amj.2022.212633

Keywords

Pangastritis, Endoscopy, Dyspepsia

Authors

First Name

Mohab

Last Name

M. Mansour

MiddleName

-

Affiliation

Departments of Hepatogastroenterology & Infectious Diseases, Faculty of Medicine, Al-Azhar University

Email

mohabmansour1001@yahoo.com

City

-

Orcid

-

First Name

Sayed

Last Name

Abd El-Raheem

MiddleName

-

Affiliation

Departments of Pathology, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

First Name

Waleed

Last Name

Mousa

MiddleName

-

Affiliation

Departments of Hepatogastroenterology & Infectious Diseases, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

First Name

Mostafa

Last Name

A. El-Hawary

MiddleName

-

Affiliation

Departments of Hepatogastroenterology & Infectious Diseases, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

Volume

51

Article Issue

1

Related Issue

29633

Issue Date

2022-01-01

Receive Date

2022-01-04

Publish Date

2022-01-01

Page Start

431

Page End

442

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_212633.html

Detail API

https://amj.journals.ekb.eg/service?article_code=212633

Order

37

Type

Original Article

Type Code

941

Publication Type

Journal

Publication Title

Al-Azhar Medical Journal

Publication Link

https://amj.journals.ekb.eg/

MainTitle

ENDOSCOPIC VERSUS HISTOPATHOLOGIC DIAGNOSIS OF PANGASTRITIS IN NEWLY DIAGNOSED DYSPEPSIA

Details

Type

Article

Created At

22 Jan 2023