Associação entre a indicação de procedimento de endoscopia digestiva alta e o resultado obtido, em um hospital terciário da Grande Florianópolis

• Autor(a) principal: Machado, Matheus Camilo Martins
• Data de Publicação: 2017
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Universitário da Ânima (RUNA)
• Texto Completo: https://repositorio.animaeducacao.com.br/handle/ANIMA/9271
• topic: Endoscopia digestiva alta; EDA; Gastroenterologia; Upper gastrointestinal endoscopy; UGIE; Gastroenterology

Introduction: The esophagogastroduodenoscopy (EGD) is a procedure used for diagnostic and therapeutical purposes in the upper gastrointestinal tract. In Brazil, it has a low financial cost and a high cost-benefit, being thus increasingly used. Therefore, it’s important to analyse if the EGDs are being referred in a rational, cohesive and logical manner, or if changes are necessary. Objective: To investigate the association between indication of EGD and outcome. Methods: This cross-sectional study was conducted in the Endoscopic Unit of the Hospital Governador Celso Ramos in Florianópolis. 1080 EGDs were evaluated in the period between January and June of 2016. The data were collected through the patients’ electronic records. Statistical analysis was done using the chi-squared test, and a value of p < 0.05 was considered statistically significant, having a risk ratio with a 95% confidence interval. Results: Of the EGDs analysed, 57,5% were performed in women, and 48,1% in patients between the ages of 46-65. Of the indications, 43,6% were gastric complaints. 4,7% had no identifiable indication. The gastric and duodenal outcomes were observed in 46,7% of EGDs; neoplasms, in 1,4%. A normal outcome was seen in 9,5%. Gastric complaints had a correspondence with gastric and duodenal diseases of 59,2%. Conclusion: Most indications were due to gastric complaints and the commonest outcomes were gastric and duodenal diseases, and those two had the biggest correspondence with each other. Indication and outcome corresponded with each other in 47,5% of the EGDs.