Upper GIS Endoscopy Indications of Patients Consulted at Internal Medicine Outpatient Clinics and Data Obtained According to These Indications

Background and aim: Esophagogastroduodenoscopy is an innovative method used in order to diagnose esophagus, stomach, and duodenum diseases. Esophagogastroduodenoscopy is fundamental for the prognosis of various benign and malign upper gastrointestinal diseases, as well as for therapy or disease follow-up. The aim of the present study is to classify endoscopy results according to indications and to reveal which indications and results are most commonly seen. Materials and methods: The Esophagogastroduodenoscopy results of 6243 patients were evaluated retrospectively;all patients had applied to the Gaziosmanpa?a Taksim Education and Research Hospital Department of Internal Medicine from 2010 to 2015 on either an outpatient or inpatient basis. Results: In our study, 2548 of the patients were male and 3695 were female. The mean age of the patients was 49.37 ± 16.90 years. The indications for Esophagogastroduodenoscopy were dyspeptic symptoms for 72.8% of females and 70.4% of males. Anemia was the indication for 12.1% of females and 11.8% of males. Other indications included gastrointestinal bleeding, dysphagia, nausea and vomiting, gastroesophageal reflux disease symptoms and weight loss. Peptic ulcer disease was the result of Esophagogastroduodenoscopy for 55.7% of females and 50.6% of males. Gastric ulcer (15.2% of females and 16% of males), reflux esophagitis (8.1% of females and 10.1% of males), and duodenal ulcer (6.8% of females and 10.1% of males) were the other results. Malignancy was mostly observed in patients whose indications were anemia. Conclusion: The upper gastrointestinal system endoscopy continues to be an up-to-date method of displaying the effectiveness of diseases to assist in the diagnosis and treatment of the symptoms and complaints of the gastrointestinal system, particularly in the evaluation of patients having persistent symptoms.

Relationship between the Level of <i>Helicobacter pylori</i>and Number of Platelets in Non-ITP Patients Who Underwent Gastroscopy

Purpose: To investigate both the presence of H. pylori in non-ITP patients who had not undergone H. pylori eradication, and also its relationship (if any) with the number of platelets. Methods: This retrospective study was performed with a total of 220 cases aged between 18 and 65 years who had undergone gastroscopy. H. pylori levels of the participants were investigated, and concurrently their hemograms were analyzed, and their platelet counts were performed. At the same time, cases in the H. pylori positive arm were compared with sub-groups categorized based on their degree of positivity. Results: A statistically significant difference was not detected between platelet counts of the cases based on their H. pylori levels (p = 0.583). A statistically significant difference was detected between H. pylori levels, and distribution of histopathological diagnosis of the cases (p = 0.001;p Conclusion: Our study results revealed that in cases where any primary or secondary factor which might affect platelets is absent, the presence of H. pylori has not any effect on platelet counts.