Japan Digestive Disease Week 2025
International Poster Session2 (JDDW)
October 31, 10:18–10:58, Room 15 (Kobe International Exhibition Hall No.1 Building Digital Poster Venue)
IP-7_C
Prevalence and associated factors of clinically significant findings detected via esophagogastroduodenoscopy among Vietnamese patients with upper gastrointestinal symptoms Travel Award
- 1
- Department of Endoscopy, Nguyen Trai Hospital
- 2
- Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City
Background: Many patients with upper gastrointestinal symptoms have normal esophagogastroduodenoscopy (EGD) findings. Identifying those likely to have clinically significant findings (CSFs) is essential. This study examined the prevalence and associated factors of CSFs in Vietnamese patients undergoing EGD.
Methods: A cross sectional study was conducted at a tertiary hospital in Vietnam from March to September 2022. CSFs included erosive reflux disease (ERD), Barrett esophagus, peptic ulcer disease (PUD), upper gastrointestinal dysplasia, or cancer.
Results: Among 328 patients (mean age 46.4 years), CSFs were found in 24.1%, including ERD (16.2%), PUD (6.7%), low-grade gastric dysplasia (0.9%), and gastric cancer (1.5%). Helicobacter pylori infection was not significantly associated with CSFs. Independent risk factors for CSFs included age >= 45 years (OR: 1.95), male gender (OR: 2.96), body mass index >= 23 (OR: 2.50), alarm symptoms (OR: 2.50), and epigastric pain (OR: 2.04). Alarm symptoms was the only factor independently associated with gastric dysplasia or cancer (OR: 10.82).
Conclusions: CSFs were present in about one fourth of Vietnamese patients presenting with upper gastrointestinal symptoms who underwent EGD. Identifying associated factors may help select appropriate candidates for EGD.
Methods: A cross sectional study was conducted at a tertiary hospital in Vietnam from March to September 2022. CSFs included erosive reflux disease (ERD), Barrett esophagus, peptic ulcer disease (PUD), upper gastrointestinal dysplasia, or cancer.
Results: Among 328 patients (mean age 46.4 years), CSFs were found in 24.1%, including ERD (16.2%), PUD (6.7%), low-grade gastric dysplasia (0.9%), and gastric cancer (1.5%). Helicobacter pylori infection was not significantly associated with CSFs. Independent risk factors for CSFs included age >= 45 years (OR: 1.95), male gender (OR: 2.96), body mass index >= 23 (OR: 2.50), alarm symptoms (OR: 2.50), and epigastric pain (OR: 2.04). Alarm symptoms was the only factor independently associated with gastric dysplasia or cancer (OR: 10.82).
Conclusions: CSFs were present in about one fourth of Vietnamese patients presenting with upper gastrointestinal symptoms who underwent EGD. Identifying associated factors may help select appropriate candidates for EGD.
- Index Term 1: Clinically significant findings
- Index Term 2: esophagogastroduodenoscopy