Santos Luis Thadeu Rebouças, Martins Mariana Paiva Braga, Souza Caio Dos Santos, Silva Rodrigo Rodrigues, Silva Marcos Antonio Custódio Neto da
Universidade Federal do Maranhão - Imperatriz (MA) - Brazil.
Hospital Macrorregional Ruth Noleto, Serviço de Endoscopia - Imperatriz (MA) - Brazil.
Acta Cir Bras. 2024 Sep 30;39:e395824. doi: 10.1590/acb395824. eCollection 2024.
To analyze clinical and endoscopic aspects of dyspeptic patients submitted to upper endoscopy in a reference center in the interior of Maranhão, Brazil.
Observational, descriptive, and analytical research through interviews and endoscopic reports of 80 patients with dyspeptic complaints submitted to upper endoscopy.
Among the respondents, 66.25% were women, most were aged ≥ 40 years old and had epigastric pain as their main symptom, and 29.75% had no appropriate indication to perform upper endoscopy. Mild enanthematous gastritis of the antrum was the most frequent finding, and 92.5% had non-significant findings. Rapid urease test was positive in 25%. The following findings showed a statistically significant correlation (p < 0.05): age < 40 years old, female gender, and gastric lesion with positive urease test; smoking with gastric lesion and age less than 40 years old with normal examination. Patients with significant findings had appropriate indications for upper endoscopy.
The correct indication of upper endoscopy is essential for satisfactory endoscopic yields and accurate diagnosis.
分析在巴西马拉尼昂州内陆一家参考中心接受上消化道内镜检查的消化不良患者的临床和内镜检查情况。
通过对80例有消化不良症状并接受上消化道内镜检查的患者进行访谈和内镜检查报告，开展观察性、描述性和分析性研究。
在受访者中，66.25%为女性，大多数年龄≥40岁，主要症状为上腹部疼痛，29.75%的患者没有进行上消化道内镜检查的合适指征。胃窦轻度红斑性胃炎是最常见的发现，92.5%的患者检查结果无明显异常。快速尿素酶试验阳性率为25%。以下发现显示出统计学显著相关性（p<0.05）：年龄<40岁、女性、尿素酶试验阳性的胃部病变；吸烟与胃部病变以及年龄小于40岁且检查结果正常之间的关系。有明显检查结果的患者有进行上消化道内镜检查的合适指征。
上消化道内镜检查的正确指征对于获得满意的内镜检查结果和准确诊断至关重要。
