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

Marwa Ahmed Saad Gouda; Ahmed Ismail Al-lakani; Magdy Mohammed Bedewy

doi:doi:10.11648/j.ajim.20150306.12

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

Marwa Ahmed Saad Gouda, Ahmed Ismail Al-lakani, Magdy Mohammed Bedewy

Published in American Journal of Internal Medicine (Volume 3, Issue 6)

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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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
AU  - Magdy Mohammed Bedewy
Y1  - 2015/10/31
PY  - 2015
N1  - https://doi.org/10.11648/j.ajim.20150306.12
DO  - 10.11648/j.ajim.20150306.12
T2  - American Journal of Internal Medicine
JF  - American Journal of Internal Medicine
JO  - American Journal of Internal Medicine
SP  - 224
EP  - 230
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

Marwa Ahmed Saad Gouda

Internal Medicine Department, Geriatric Unit, Faculty of Medicine, Alexandria University, Alexandria, Egypt
Ahmed Ismail Al-lakani

Internal Medicine, Internal Medicine Department, Gastroenterology Unit
Magdy Mohammed Bedewy

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

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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

Copy | Download

@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
AU  - Magdy Mohammed Bedewy
Y1  - 2015/10/31
PY  - 2015
N1  - https://doi.org/10.11648/j.ajim.20150306.12
DO  - 10.11648/j.ajim.20150306.12
T2  - American Journal of Internal Medicine
JF  - American Journal of Internal Medicine
JO  - American Journal of Internal Medicine
SP  - 224
EP  - 230
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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