Duodenoscopy in the tropics

Fiberoptic endoscopy was carried out in 520 patients with dyspepsia, the duodenum was examined in all these patients. The lesions found were as follows: duodentis in 226 [43.46%], duodenal ulcer in 154 [29.6%], duodenal diverticulum in 3 [0.57%], and duodenal polyp in one case [0.19%]. Aspiration of duodenal content through gastroduodenoscope was carried out in 20 cases of duodenitis; the trophozoite of Giardia lamblia was seen in one case, and the larvae of Strongtyloides stercoralis was seen in another case. The comments site of duodenal ulcer was on the anterior wall 82/154 [53.2%], the least was on the inferior wall 16/154 [10.4%]. The most common site for bleeding duodenal was on the anterior wall 35/53 [66%]