16. Spectrum of Clinical Complications, Observed During Diagnostic Upper GI-Endoscopy Procedure in Khyber Teaching Hospital Peshawar
Jamaluddin1, Nizamuddin2, Bughdad Khan1 and Waheed Iqbal2
ABSTRACT
Objective: To evaluate the occurrence of different clinical complication in all patients during diagnostic upper gastrointestinal endoscopy procedure.
Study Design: Descriptive / cross sectional / single center study
Place and Duration of Study: This study was conducted at the Department of Medicine, Khyber Teaching Hospital, Peshawar from July 2017 to June 2018.
Materials and Methods: Total 500 patients, with mean age of 45±1 years, were enrolled in the study by non–probability consecutive sampling. From all these patients, who were advised diagnostic upper GI-endoscopy, informed consent was taken and all the demographic profile of the patients was recorded. Upper GI-endoscopy was performed and clinical adverse events like bleeding, perforation, aspiration, respiratory arrest, tachycardia, cardiac arrest, myocardial infarction and death were recorded. Data were analyzed using SPSS version 20 and graph pad prism version 6.0 while graph were constructed using Microsoft Excel 2013.
Results: Among 500 patients, 350 (70%) were male and 150 (30%) were female. Upper GI endoscopy was performed in all patients. Different clinical complications were observed in 25(5%) patients, while in 475(95%) patients, no major or minor clinical complications were observed. Out of 25 patients with observed clinical complications, 18 were male and 07 were female. No major complication like perforation, cardiac arrest, respiratory arrest and death was observed in any patients. Tachycardia, bleeding, aspiration and myocardial infarction was observed in 13, 09, 02 and 01 patients respectively. Increasing age and gender does not make any statistical significant difference of developing complications with p-value 1.0 though patient with age group of 46-55 and 56-65 are prone to develop complications as compared to other age groups (OR (95%CI 1.18 and 2.08) respectively.
Conclusion: These results clearly suggest, “That upper GI endoscopy is a very safe procedure in all indicated patients, if performed either directly or in the supervision of a senior and experienced endoscopist in a well prepared and properly investigated patients”.
Key Words: Endoscopy, GI tract, complications and experienced endoscopist.
Citation of articles: Jamaluddin, Nizamuddin, Khan B, Iqbal W. Spectrum of Clinical Complications, Observed During Diagnostic Upper GI-Endoscopy Procedure in Khyber Teaching Hospital Peshawar. Med Forum 2018;29(8):69-72.