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274299

ENDOSCOPIC VERSUS HISTOPATHOLOGICAL DIAGNOSIS OF PAN-GASTRITIS IN PATIENTS WITH PEPTIC ULCER DYSPEPSIA

Article

Last updated: 24 Dec 2024

Subjects

-

Tags

Medicine

Abstract

Background: Peptic ulcer is an acid-induced lesion of the digestive tract that is usually located in the stomach or proximal duodenum, and is characterized by denuded mucosa with the defect extending into the submucosa or muscularis propria. Pangastritis commonly seen in upper gastrointestinal (UGI) and we need to take biopsies for histopathology to confirm gastritis histological. Objective: This study aims to analyze the correlation between the endoscopic findings and the histological diagnosis of pan-gastritis in newly diagnosed ulcer dyspeptic patients. Patients and methods: A hospital-based cross-sectional study conducted on 180 patients at Al-Hussien University Hospitals to assess the endoscopic and histopathologic pattern of pan-gastritis among patients presented by newly diagnosed peptic ulcer dyspepsia not more than 4 weeks attending the Hepato-gastroenterology and Infectious diseases Department outpatient clinic and endoscopy unit during, the period from February to August 2019. Results: Results of histopathology compared to endoscopic result in diagnosis of ulcer dyspepsia, we found that 120 patients (66.7%) true positive, 14 patients (7.8%) true negative, 18 patient (10%) false positive and 28 patients (15.6%) false negative. Thus endoscope had the sensitivity of 81.8%, specificity of 43.8%, PPV of 86.9%, NPV of 33.3% and accuracy of 74.4% in diagnosis of pangastritis. Also H.pylori was examined by giemsa stain and found that H.pylori positive in 71.1% of cases which mean significant association between ulcer dyspepsia and H. pylori, mostly was in the antrum was positive in 128 patients (71.1%), H. pylori Body was positive in 88 Patients (48.9%) while H. pylori fundus was positive in 75 patients (41.7% According to symptoms of the patients we find that 41.1 % (74) from ulcer dyspeptic patient cases complaining from epigastric pain then early satiation was positive 70 patients (38.9%), Post prandial fullness was positive 64 patients (35.6%) followed by Epigastric burning was positive in 59 patients (32.8%) of all studied patients. Conclusion: Pan-gastritis is a common finding in ulcer dyspeptic patients and endoscopy has high sensitivity in diagnosis of pangastritis and normal endoscopic appearance does not rule it out and the histopathology is still the gold standard method.

DOI

10.21608/amj.2023.274299

Keywords

Endoscopic, Histopathological, Pan-gastritis, Peptic Ulcer Dyspepsia

Authors

First Name

Abd El-Aty

Last Name

Fawzy Abd El-Aty Mohamed

MiddleName

-

Affiliation

Departments of Tropical Medicine, Faculty of medicine, Al-Azhar University

Email

dr.abdelaty_abdelaty1715@gmail.com

City

-

Orcid

-

First Name

El-Sayed

Last Name

Gaber Ammar

MiddleName

-

Affiliation

Departments of Tropical Medicine, Faculty of medicine, Al-Azhar University

Email

-

City

-

Orcid

-

First Name

Mostafa

Last Name

Abd El-Aziz El-Hawary

MiddleName

-

Affiliation

Departments of Tropical Medicine, Faculty of medicine, Al-Azhar University

Email

-

City

-

Orcid

-

First Name

Sayed

Last Name

Abd El-Raheem Sayed Ali

MiddleName

-

Affiliation

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

Email

-

City

-

Orcid

-

Volume

52

Article Issue

1

Related Issue

38156

Issue Date

2023-01-01

Receive Date

2022-12-14

Publish Date

2023-01-01

Page Start

303

Page End

316

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_274299.html

Detail API

https://amj.journals.ekb.eg/service?article_code=274299

Order

25

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 HISTOPATHOLOGICAL DIAGNOSIS OF PAN-GASTRITIS IN PATIENTS WITH PEPTIC ULCER DYSPEPSIA

Details

Type

Article

Created At

24 Dec 2024