Yields of Ultrasonogram, Upper GIT Endoscopy, and Stool Antigen Test for H. pylori in Dyspeptic Patients

Authors

  • Madhusudan Saha Professor, Department of Gastroenterology, Sylhet Women's Medical College, Sylhet Author
  • Md. Abdul Mumit Sarkar Assistant Professor, Department of Gastroenterology, Rajshahi Medical College Hospital, Rajshahi Author
  • Ratan Chandra Bhowmik Registrar, Department of Gastroenterology, Sylhet MAG Osmani Medical College, Sylhet Author
  • Malay Kumar Sur Chowdhury Associate Professor, Department of Gastroenterology, Sylhet MAG Osmani Medical College, Sylhet Author

Abstract

Background: Dyspepsia is a common problem of diverse etiology. This study was done to see the sonographic and endoscopic findings and H. pylori infection status of dyspeptic patients.

Materials and Methods: A Total of 156 consecutive dyspeptic patients attending outpatient department consultations were included in this cross-sectional study following inclusion and exclusion criteria. Epidemiological information, anthropometric measurements, symptoms,
results of clinical examinations, and reports of investigations, specifically ultrasonography, stool antigen for H. pylori, and upper GIT endoscopy, were recorded in a predesigned data sheet. Mean and standard deviation were calculated for qualitative data. The percentage was calculated for categorical data. The Chi-square test was done to compare variables of categorical data and a P value < 0.05 was taken as significant.
Results: NAFLD, Gastro-duodenal pathology, and stool antigen for H. pylori positivity were higher in patients of the 31-50 years age group. NAFLD was significantly higher among patients from rural communities with higher BMI and higher educational backgrounds. Stool antigen for H. pylori positivity significantly differed between sexes. Endoscopic findings differed significantly within educational groups.
Conclusion: Inflammatory gastroduodenal lesions, H. pylori infection, and gallstone disease are common findings in patients with dyspepsia.

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Published

2025-05-20