RESUMEN
Background: Acid Peptic Diseases (APD) is a common disorder. Population based survey revealed that 44% of the population reported monthly heartburn and 19.8% suffered from heartburn or acid regurgitation at least once a week. Endoscopy is the most sensitive diagnostic test for peptic ulcers. In this study, we are going to study the clinical features and upper gastrointestinal endoscopy findings in patients presenting in our centre in order to come to a precise diagnosis. Methods: Upper gastrointestinal endoscopy will be performed by faculty members in all study subjects as a primary diagnostic investigation and interpretation of the findings as observed by a single observer was noted. Results: Most common finding in endoscopy in oesophagus was erosions in 15% (15) of cases which varied from mild, moderate to severe erosions. This was followed by erythema, ulcers and hiatus hernia 6% of cases (6 each). Barrett`s oesophagus was seen in 3% of total cases (3). Carcinoma and varices was found in 1 case each. Lax OG junction was found to be in 36% (36) of the patients. Endoscopic findings of stomach shows varies lesions seen during gastroscopy in which 15% (15 cases) had Erosions, 7% (7 cases) had severe circumferential erosions, 5% (5 cases) had gastric ulcers. Erythema, growth at pylorus and polyp was seen in 2% (2 cases) each. Conclusion: Need to provide awareness regarding endoscopy diagnostic technique for patients with prolonged APD, so that it will aid to provide appropriate treatment.
RESUMEN
Background: Volvulus of the sigmoid colon is a common cause of intestinal obstruction in Eastern Europe, Russia, Africa, India, and Iran. Classical clinical picture together with plain radiographs is usually sufficient to diagnose sigmoid volvulus condition. The aim of the study is to know the clinical course and manifestations, various methods of treatment and outcome of sigmoid volvulus. Methods: Study was carried out as regards to etiological factors which predisposes to the sigmoid volvulus, the clinical features, modes of treatment and outcome. A detailed history was obtained and examination was done. The plain X-ray of abdomen was taken in all cases which were of great diagnostic aid. Results: 100% of patients presented with distension of abdomen, Pain abdomen, constipation and 80% of patients had vomiting, signs of dehydration, abdominal tenderness. In 20 cases of sigmoid volvulus, derotation was done in 3 patients (15%), derotation and tube colostomy in 1 patients (5%), primary resection and end to end anastomosis in 11 patients (55%). Conclusion: Primary resection and end to end anastomosis stands out as the most satisfactory line of treatment with reasonably good results and the success rate in this study is 80%.