7 Malaysian Gastro-Intestinal Registry
1st Report 2009
2.7 INDICATION BY AGE DISTRIBUTION
In general, the main indications for GI endoscopy were similar across all age groups. Table 2.7
.The proportion of OGDS by age group varied between 56.98 for the 30-40 yrs age group to 69.57 for those below 10yrs of age with an average of 61.03 for all age groups. The
proportion of colonoscopies varied between 22.7 for the 20-30 yrs age group to 31.69 for the 70-80 yrs age group with an average of 27.54 for all age groups. The proportion of ERCPs
varied between 4.35 in those below 10yrs of age to 8.16 in the 20-30yrs age group with an average of 7.05 across all age groups.
Table 2.7 : Indication by age distribution Section II no 2 section II no 8 Indication
0-10 10-20
20-30 30-40
No. No.
No. No.
OGDS 32
69.57 241
66.76 689
64.63 800
56.98 ERCP
2 4.35
17 4.71
87 8.16
194 13.82
Colonoscopy 12
26.09 85
23.55 242
22.7 324
23.08 EUS
12 3.32
42 3.94
75 5.34
Not Available 6
1.66 6
0.56 11
0.78
Total 46
100 361
100 1066
100 1404
100 Indication
40-50 50-60
60-70 70-80
No. No.
No. No.
OGDS 1673
61.99 2500
62.47 2178
59.49 1527
59.23 ERCP
196 7.26
251 6.27
214 5.85
159 6.17
Colonoscopy 707
26.19 1061
26.51 1105
30.18 817
31.69 EUS
108 4
164 4.1
139 3.8
62 2.4
Not Available 15
0.56 26
0.65 25
0.68 13
0.5
Total 2699
100 4002
100 3661
100 2578
100
Indication =80
Total No.
No.
OGDS 397
63.02 10037
61.03 ERCP
40 6.35
1160 7.05
Colonoscopy 176
27.94 4529
27.54 EUS
13 2.06
615 3.74
Not Available 4
0.63 106
0.64
Total 630
100 16447
100
Malaysian Gastro-Intestinal Registry 1st Report 2009
OGDS
8
CHAPTER 3 : OGDS
3.1 INTRODUCTION
Oesophagogastroduodenoscopy OGDS is an examination of the lining of the esophagus, stomach and upper duodenum with a small flexible endoscope, which is inserted down the
throat. It is one of the most commonly performed endoscopic procedures and provides valuable information in patients with upper gastrointestinal GI conditions. Additionally, therapeutic
OGDS forms the mainstay of treatment for upper GI bleeding.
A total of 10037 patients were referred for OGDS. The most common age distribution was 50-59 24.9 followed by 60-69 21.7.
Table 3.1 : Age distribution in OGDS
Age No.
0-10 32
0.32 10-20
241 2.40
20-30 689
6.86 30-40
800 7.97
40-50 1673
16.67 50-60
2500 24.91
60-70 2178
21.70 70-80
1527 15.21
=80 397
3.95
Total 10037
100
3.2 INDICATIONS
The appropriateness of the indications for upper gastrointestinal endoscopy OGDS is recognized as a quality indicator for Endoscopy Units. It has been demonstrated that there is a
statistically higher rate of significant pathologic findings when GI endoscopy is performed for indications listed in the American Society for Gastrointestinal Endoscopy ASGE guidelines for
GI endoscopy.
The most common indication for OGDS in this series was Dyspepsia 23.14 followed by gastrointestinal bleeding 17.31. GERD symptoms were the indication in only 447 patients
4.45. Table 3.2
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