Article

Dysphagia is a common problem and an indication for upper endoscopy. There is no
data on the frequency of the different endoscopic findings and whether they
change according to demographics or by single versus repeat endoscopy. To
determine the prevalence of endoscopic findings in patients with dysphagia and
whether findings differ in regard to age, gender, ethnicity, and repeat procedure. This was a retrospective study using a national endoscopic database (CORI). A total of 30,377 patients underwent esophagogastroduodenoscopy (EGD) for
dysphagia of which 4,202 patients were repeat endoscopies. Overall frequency of
endoscopic findings was determined by gender, age, ethnicity, and single vs.
repeat procedures. Esophageal stricture was the most common finding followed by
normal, esophagitis/ulcer (EU), Schatzki ring (SR), esophageal food impaction
(EFI), and suspected malignancy. Males were more likely to undergo repeat
endoscopies and more likely to have stricture, EU, EFI, and suspected malignancy
(P = 0.001). Patients 60 years or older had a higher prevalence of stricture, EU,
SR, and suspected malignancy (P < 0.0001). Esophageal stricture was most common
in white non-Hispanic patients compared to other ethnic groups. In patients
undergoing repeat EGD, stricture, SR, EFI, and suspected malignancy were more
common (P < 0.0001).
The prevalence of endoscopic findings differs significantly
by gender, age, and repeat procedure. The most common findings in descending
order were stricture, normal, EU, SR, EFI, and suspected malignancy. For patients
undergoing a repeat procedure, normal and EU were less common and all other
abnormal findings were significantly more common.

Langue : ANGLAIS